Abstract:
Introduction
Caseous pneumonia is included in acute progressive
form of pulmonary tuberculosis which usually affects
multiple segments, either unilaterally or bilaterally.
The clinical picture of caseous pneumonia is
manifested by intoxication, bronchial obstruction and
hemoptoic syndrome. The diagnosis of caseous
pneumonia is established when the general condition
of the patient worsens and it usually occurs in people
with pronounced immunodeficiency and also it could
be fatal in the absence of specific treatment.
Purpose
Study of predisposing factors and clinical evolution
features of caseous pneumonia.
Material and methods
There were treated 65 patients with infiltrative pulmonary
tuberculosis (caseous pneumonia) in new and repeated
treatment cases, during the period of 2019, in
Phthisiopneumological Municipal Hospital from Chisinau.
Results
Caseous pneumonia commonly develops in men 55 (84.6 %),
the male / female ratio being of 5,5:1. Predominant ages of
people are 20-40 years old and 39 years old (60.0 %). The main
path-way of TB detection was the passive one in 64 cases (98.5
%). The majority of persons (66.2%) were not employed.
Conclusions
Tuberculosis contact occured in 43.1%, from lethal outbreaks –
39.3 % of persons. Most patients had various comorbidities in
61.5 %. Cachexia was found in half of patients – 58.5%. There
were prevailed patients in severe condition (60.0%). AFB
sputum smear result was positive in 80.0 % cases, which was
confirmed bacteriologically (93.9 %). There predominated
negative outcomes, with high percentage of deaths.
