Clinical and paraclinical similarities and differences between pulmonary tuberculosis and community-acquired pneumonia
Keywords:
tuberculosis, acute community-acquired pneumonia, risk factors, management, differential diagnosisAbstract
The differential diagnosis of infiltrative pulmonary processes requires identifying the differences and similarities between pulmonary tuberculosis (TB) and community-acquired pneumonia CAP, due to high burden of both diseases. The purpose of the study was to evaluate the particularities of patients diagnosed with pulmonary TB and community-acquired pneumonia with the development of new criteria of differential diagnosis of pulmonary infiltrative processes for improvement of the clinical management. Material and methods: A prospective, descriptive, case-control study was conducted that evaluated the characteristics of 198 new cases of pulmonary tuberculosis and 65 patients with community-acquired pneumonia. The criteria for differentiation of specific and non-specific pulmonary infiltrative processes are: exposure to socio-demographic risk factors and risk factors for TB disease, relevant clinical-radiological aspects and dynamic evolution under the treatment. It is recommended: to use the criteria of differential diagnosis of pulmonary infiltrative processes during the primary evaluation of suspected patients taking into account the indicators for the optimization of clinical management.
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