CLINICAL CASE: FEATURES OF TUBERCULOSIS IN ADOLESCENTS

Abstract

Introduction. Currently, there has been an improvement in the situation of tuberculosis in the Russian Federation. Despite successful preventive and diagnostic measures of phthisiatric service, cases of the disease still occur in adolescence. Purpose of work. Clinical demonstration of a case of pulmonary tuberculosis in an adolescent with concomitant pathology. Methods. A clinical case of a 16-year-old boy with infiltrative pulmonary tuberculosis, which developed against the background of a longstanding infection with MBT, presented. The rapid development of pronounced changes in the lungs, decay and infiltration may have been provoked by adolescent age and the presence of concomitant pathology. Results. Slow clinical and radiological dynamics observed in the course of the disease, but the complex approach to treatment with the use of minimally invasive non-medicinal method of valve bronchoblockage permitted to achieve positive results. Due to their physiological peculiarities, connected with hormonal reorganization of the body, teenagers are a «risk group» for tuberculosis. Discussion and Conclusion. Tuberculosis process in this age group is characterized by a number of distinctive features which are related to certain reasons, among which are anatomical and physiological peculiarities of teenagers, changes in living conditions, transition from complete social and economic dependence on adults to relative social independence and coexisting diseases. The task of general practitioners and tuberculosis doctors is to organize the early detection of tuberculosis in adolescence and to provide correct and controlled treatment.