[The specific features of detection, clinical picture, and treatment of pulmonary tuberculosis in patients with mental diseases].

Abstract

One hundred and thirteen patients with pulmonary tuberculosis and mental disease and 127 tuberculosis patients without mental diseases were studied. Patients with mental diseases were observed to have asymptomatic pulmonary tuberculosis with insignificant expectoration, which made the microbiological diagnosis of tuberculosis difficult. The basic method for detection of tuberculosis is to make a fluorographic study every 6 months, which enables active detection of more than 92% of new cases of tuberculosis as minor forms. The efficiency of treatment for tuberculosis concurrent with mental diseases was high: bacterial discharge ceased in 93.3% of cases, decay cavities closed in 80%, which was associated with the possibility of performing long-term continuous treatment in the inpatient setting.