[Iatrogenic sequelae of pulmonary tuberculosis].
OBJECTIVE
The purpose of this study is to underline how topical is the chapter of the sequelae of pulmonary tuberculosis and to try to make a classification. Pulmonary tuberculosis can be cured definitely or hesitate in disease (BK negative) that is totally independent from tuberculosis about their pathogenesis and clinical features. They are called sequelae.


METHODS
We made a statistical analysis that investigate a group of 110 patients without active infection (BK negative) admitted in the hospital because of a sequela of pulmonary tuberculosis. Patients were treated in the past by collapse-therapy or by antibiotic-therapy until their spittle became negative for BK.


RESULTS
A significant (p < 0.05) relationship between each kind of sequela, among the most important ones (fibrothorax, interstitial fibrosis, bronchiectasis, empyema with or without pleural fistula, parafibrotic emphysema), and type of treatment, results.


CONCLUSIONS
The sequelae of tuberculosis of the lung are highly disadvantageous for people who are affected; are observed frequently; are closely dependent on what kind of treatment the patient has received; are classified in iatrogenic, not iatrogenic or mixed.
Giancaspro
G
G
D.E.A., Dipartimento di Emergenza Accettazione di II livello, Policlinico Umberto I, Università degli Studi La Sapienza di Roma, Italia. p.giancaspro@flashnet.it
Soldini
M
M
Reali
A
A
Ogbonna
N
N
Terrinoni
R
R
Capici
F
F
Barbaro
G
G
D000293:Adolescent; D000328:Adult; D000367:Age Factors; D000368:Aged; D000369:Aged, 80 and over; D001987:Bronchiectasis / Q000209:etiology; D005260:Female; D006801:Humans; D007049:Iatrogenic Disease; D008297:Male; D008875:Middle Aged; D011656:Pulmonary Emphysema / Q000209:etiology; D011658:Pulmonary Fibrosis / Q000209:etiology; D014397:Tuberculosis, Pulmonary / Q000150:complications* / Q000628:therapy