[Early diagnosis and features of non-specific renal lesions in patients with pulmonary tuberculosis].
Two hundred and eight patients with pulmonary tuberculosis were examined. A risk for nonspecific renal disease was shown to be significantly higher in the presence of concomitant diseases, such as hypertensive and alcoholic disease, diabetes mellitus, and chronic pyelonephritis. The urinary low molecular-weight protein test was demonstrated to be of value in the early diagnosis of renal lesion and in the determination of its pattern. Long-term use of angiotensin-converting enzyme inhibitors was beneficial in patients with increased urinary albumin excretion. The spectrum of causative agents of urinary tract infection and their sensitivity to antibiotics were studied in patients with pulmonary tuberculosis. Fluoroquinolones were demonstrated to have some advantage in the treatment of these patients. The authors show it necessary to make a follow-up monitoring of renal function and an adequate therapeutical correction, which may retard the progression of renal abnormalities.
Efremovtseva
M A
MA
Bychkova
L V
LV
Baĭbulatova
S R
SR
Iushkova
N M
NM
Pavlovich
A I
AI
D000328:Adult; D000437:Alcoholism / Q000150:complications; D000995:Antitubercular Agents / Q000627:therapeutic use*; D048909:Diabetes Complications; D003937:Diagnosis, Differential; D005260:Female; D006801:Humans; D006973:Hypertension / Q000150:complications; D007674:Kidney Diseases / Q000175:diagnosis* / Q000209:etiology* / Q000382:microbiology / Q000473:pathology / Q000503:physiopathology; D008297:Male; D008875:Middle Aged; D011704:Pyelonephritis / Q000150:complications; D013997:Time Factors; D014397:Tuberculosis, Pulmonary / Q000150:complications*
D000995:Antitubercular Agents