No abstract available.
Diagnosis* ; Tuberculosis ; Tuberculosis, Pulmonary*

No abstract available.
Diagnosis* ; Tuberculosis, Pulmonary*

No abstract available.
Diagnosis* ; Tuberculosis, Pulmonary*

No abstract available.
Diagnosis, Differential* ; Tuberculosis, Pulmonary*

Background: Pulmonary tuberculosis is a contagious bacterial infection that mainly involves the lungs, but may spread to other organs. Most people who develop symptoms of a tuberculosis infection first became infected in the past. However, in some cases, the disease may become active within weeks after the primary infection. Objective: To evaluate the diagnosis and treatment of pulmonary tuberculosis. Subjects and method: A retrospective study included 196 patients with pulmonary tuberculosis hospitalized in Department of Respiratory of Bach Mai Hospital in 2 years (2002 - 2003). Patients\ufffd?information of medical records was collected. Results and conclusions: 60.7% of patients were male and 39.3% were female. Tuberculous pleurisy was 59%, parenchymal lung tuberculosis 36%, and the others 5%. Clinical signs and symptoms included chest pain 67.9%, dyspnea 61.2%, cough 72.9% (nonproductive cough: 42.3%; productive cough: 30.6%), fever 61.2%. Dull to flat percussion, decreased to absent breath sound and fremitus 65.3% (89% tuberculous pleurisy). 27.6% of patients had positive AFB evident (smear, bronchial lavage fluid). The first line drugs were usually used in treatment of tuberculosis.
Tuberculosis ; Pulmonary/ diagnosis ; therapy

In order to find out the relation between immune response and clinical changes in tuberculosis patient, and characters of CMI at the onset of the disease as well as the end of treatment, the follow-up of changes in cell mediated immune response (HIR). The study was carried out at different times before treatment [T2], and at the end of the treatment [T9] in 42 newly diagnosed pulmonary tuberculosis patients. Our results showed that only changes in CMI were significant and the pattern of cellular immune response was relative to the severity of the illness. In early-diagnosed patients (1-2 months) when the lymphoproliferative response in vitro increased, there was a enhancing factor in the patient's cell culture supernatant; whereas in late-diagnosed patients (6-12 months), when the lymphoproliferative response in vitro increased, there was a inhibitory factor. The patterns of soluble factor production was relative to effect of treatment (the patients whose mononuclear cells produced inhibitory factors at T9 were cured patients and no relapse found, the patients whose mononuclear cells still produced enhancing factors at T9 were uncured patients and could suffer from a relapse 3-6 months later).
Tuberculosis, Pulmonary ; Diagnosis ; Therapeutics

Study of 110 pulmonary tuberculosis patients at Hai Phong tuberculosis and lung disease Hospital, the controls was 50 health people from 6/2002 to 2/2003. 36.36% patients have change of disposition; 28.18% patients have obsessional disorder; 4.55% patients which ideology rules over behaviour. 2.73% patients have hallucination of hearing and 1.82% patiens have optical illusion. Depression rate: pulmonary tuberculosis patients was 45.55%, the controls was 14%. Easy depression 32.73%, medium depression 10.91%, heavy depression 0.91%. Anxiety disorder 36.36%
Epidemiology ; Diagnosis ; Tuberculosis, Pulmonary

Rates of drug resistance TB are increasing in the world as well as in Viet Nam. Treatment outcomes will be affected by TB drug resistance, specially increasing rate of failure. The study was conducted in Hanoi and Da Nang cities with 105 TB relapsed patients. Among them, 76.2% relapsed during the first two years. The most common symptom for relapse cases was prolonged cough, 98.1%. 80% of the patients had at least two slides positive when they got relapse diagnosis. The most common location of chest x-ray findings was in both sites (64%), 70.4% of patients were resistant to at least one TB drug. Rate of MDR was 18.5%.
Tuberculosis, Pulmonary ; Diagnosis ; Drug Resistance

Tuberculous cavity is important in diagnosis and observation in the course of pulmonary tuberculosis. Authoranalyzed the radiologic findings of cavity and average months of negative conversion in AFB culture in 89 cases ofinitial treatment. The results were as follows: 1. The more number of cavities, the longer period in negativeconversion of AFB culture. 2. No relation between sums of diameter and thickeness of cavity and average months ofnegative conversion in AFB cultlure. 3. In the cases of cavity with air-fluid level took longer period in negativeconversion of AFB culture than those of cavity without air-fluid level, significantly. 4. No relation betweenradiologic findings of cavity and results of chemotherapy for pulmonary tuberculosis.
Diagnosis ; Drug Therapy ; Tuberculosis, Pulmonary

The preliminary results showed that the immunotherapy with M.Vaccae may be very effective. 13 of 20 patients without immunotherapy (group A) have improved clinically, comparing with 22 improved patients of 22 patients with immunotherapy (group B), especially, 4 of 20 patients in group A had a relapse after treatment, and the difference of immune responses between 2 groups in the end of treatment could be found out.
Tuberculosis, Pulmonary ; Immunotherapy ; Drug Therapy ; Diagnosis