Generalized tuberculosis with long-term course in the guise of liver cirrhosis
Abstract
Aim of investigation. To demonstrate unusual clinical symptoms and difficulties of diagnostics of disseminated tuberculous process.
Material and methods. The 25 year-old patient, who was managed for 10 years for liver cirrhosis of nonspecified etiology, was investigated. The careful analysis of clinical presentation of disease, data of physical examination, results of radiological and other methods of diagnostics was carried out.
Results. It was possible to suspect and subsequently to confirm disseminated tuberculosis with involvement of the lungs, the heart, pericardium, pleura, mesenteric lymph nodes, the liver; chronic right-sided tubercular pleurisy with pleurocirrhosis; constrictive pericarditis with signs of right ventricular failure; cardiac liver fibrosis (Pick's pseudocirrhosis); mixed portal hypertension.
Conclusion. The detailed analysis of clinical presentation of disease, physical data and application of complex of visual and other methods of investigation expand potential of diagnostics of disseminated tuberculous process.
About the Authors
Z. A. Lemeshko
State educational government-financed institution of higher professional education «Sechenov First Moscow state medical university»
Russian Federation
Russian Federation
Lemeshko Zinaida A — MD, PhD, professor, Chair of internal diseases propedeutics, medical faculty
119991, Moscow, Pogodinskaya street, 1, bld 1
M. V. Mayevskaya
State educational government-financed institution of higher professional education «Sechenov First Moscow state medical university»
Russian Federation
Russian Federation
I. N. Tikhonov
State educational government-financed institution of higher professional education «Sechenov First Moscow state medical university»
Russian Federation
Russian Federation
N. P. Musina
State educational government-financed institution of higher professional education «Sechenov First Moscow state medical university»
Russian Federation
Russian Federation
M. S. Zharkova
State educational government-financed institution of higher professional education «Sechenov First Moscow state medical university»
Russian Federation
Russian Federation
Ye. V. Fominykh
State educational government-financed institution of higher professional education «Sechenov First Moscow state medical university»
Russian Federation
Russian Federation
V. T. Ivashkin
State educational government-financed institution of higher professional education «Sechenov First Moscow state medical university»
Russian Federation
Russian Federation
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Review
For citations:
Lemeshko Z.A., Mayevskaya M.V., Tikhonov I.N., Musina N.P., Zharkova M.S., Fominykh Ye.V., Ivashkin V.T. Generalized tuberculosis with long-term course in the guise of liver cirrhosis. Russian Journal of Gastroenterology, Hepatology, Coloproctology. 2015;25(3):85-89. (In Russ.)
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