3
I. ELEMENTE GENERALE...........................................................................................................5
1. Defini\u00feie...............................................................................................................................5
2. Scurt istoric........................................................................................................................5
3. Etiologie..............................................................................................................................5
4. Transmiterea infec\u00feiei tuberculoase.................................................................................6
a. Surse de infec\u00feie............................................................................................................6
b. Transmiterea infec\u00feiei.....................................................................................................6
5. Istoria natural\u00e3 a infec\u00feiei tuberculoase..........................................................................7
a. Primoinfec\u00feia..................................................................................................................7
b. Tuberculoza boal\u00e3..........................................................................................................8
c. Istoria natural\u00e3 a tuberculozei \u00een popula\u00feie....................................................................8
6. Leziuni morfologice \u00een tuberculoz\u00e3..................................................................................9
a. Leziuni microscopice......................................................................................................9
b. Leziuni macroscopice...................................................................................................10
II. METODE \u00ceN DIAGNOSTICUL TUBERCULOZEI...................................................................11
1. Examenul bacteriologic...................................................................................................11
a. Probe clinice.................................................................................................................11
b. Examenul microscopic.................................................................................................11
c. Cultura micobacteriilor.................................................................................................13
d. Testarea sensibilit\u00e3\u00feii la medicamente antituberculoase.............................................13
e. Metode moleculare de detec\u00feie a MTB........................................................................13
2. Examenul histopatologic.................................................................................................13
3. Testarea cutanat\u00e3 tuberculinic\u00e3.....................................................................................14
a. Tehnic\u00e3.........................................................................................................................14
b. Citire.............................................................................................................................14
c. Interpretare...................................................................................................................14
d. Limitele interpret\u00e3rii......................................................................................................15
III. TUBERCULOZA COPILULUI.................................................................................................16
1. Tuberculoza primar\u00e3........................................................................................................16
a. Manifest\u00e3ri....................................................................................................................16
b. Diagnostic....................................................................................................................17
c. Evolu\u00feie. Complica\u00feii.....................................................................................................17
2. Tuberculoza pulmonar\u00e3...................................................................................................17
3. Forme grave de tuberculoz\u00e3...........................................................................................18
a. Meningita tuberculoas\u00e3................................................................................................18
b. Tuberculoza miliar\u00e3......................................................................................................18
4. Alte forme de tuberculoz\u00e3 extrapulmonar\u00e3...................................................................18
5. Diagnosticul tuberculozei copilului...............................................................................19
IV. TUBERCULOZA PULMONAR\u00c3 A ADULTULUI....................................................................20
1. Manifest\u00e3rile clinice.........................................................................................................20
2. Semne radiologice...........................................................................................................20
3. Diagnosticul tuberculozei pulmonare............................................................................22
4. Diagnosticul diferen\u00feial al tuberculozei pulmonare.....................................................22
a. Tusea persistent\u00e3.........................................................................................................22
b. Imagine cavitar\u00e3...........................................................................................................23
5. Evolu\u00feia tuberculozei pulmonare....................................................................................23
V. TUBERCULOZA EXTRAPULMONAR\u00c3 (TBEP)....................................................................24
1. Tuberculoza diseminat\u00e3..................................................................................................24
a. Tuberculoza miliar\u00e3......................................................................................................24
b. Tuberculoza diseminat\u00e3 areactiv\u00e3...............................................................................25
2. Meningita tuberculoas\u00e3...................................................................................................25
3. Pleurezia tuberculoas\u00e3....................................................................................................27
CUPRINS
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