Email this article A case of bronchial asthma in a patient with long-term cough
- Authors: Yubrina I.V.1,2, Bozhkov I.A.1,2, Degtyareva L.N.1, Karostik D.V.2
-
Affiliations:
- North-Western State Medical University named after I.I. Mechnikov
- Tuberculosis Dispansary No. 5
- Issue: Vol 26, No 2 (2022)
- Pages: 31-38
- Section: Case report
- URL: https://journals.rcsi.science/RFD/article/view/104664
- DOI: https://doi.org/10.17816/RFD104664
- ID: 104664
Cite item
Open Access
Access granted
Subscription Access
Abstract
BACKGROUND: The regulatory documents determining the phthisiatric care for population do not provide diagnostics and treatment of comorbid somatic pathology with tuberculosis in tuberculosis dispansery. If patients with diagnosed tuberculosis or suspected tuberculosis need therapeutic specialists’ consultation, they have to be referred to the district polyclinic working in the medical insurance system. So, timeliness of diagnostics and chronic diseases management decreases. The course of tuberculosis becomes more complicated and lengthened. At the same time tuberculosis specificities are not taken in to account complicating comorbid pathology. For effective diagnostics and treatment tuberculosis and comorbid pathology the special algorithms of patient management were develop in Tuberculosis Dispensary No. 5.
AIM: To describe the clinical case of bronchial asthma in a 35 year old female patient as an example of effective interdisciplinary communication between general practitioner, phthisiatrician and specialists of therapeutic profile.
MATERIALS AND METHODS: Patients with suspected tuberculosis are comprehensively examined by the phthisiatrician and therapeutic profile specialists according to special developed algorithms of diagnostic search at Tuberculosis Dispensary No. 5.
RESULTS: The patient with long-term cough was comprehensively examined. Within a short time tuberculosis was excluded, bronchial asthma was diagnosed. The effective treatment of asthma and a plan of further patient flow-up in the district polyclinic was recommended.
CONCLUSIONS: An experience of the interdisciplinary communication phthisiatricians and specialists of therapeutic profile who have entered the department of medical-social care and rehabilitation demonstrated the relevance and appropriateness in diagnostics of tuberculosis and concomitant chronic uninfection diseases, that let minimize risks of cross adverse effects and choose the optimal tactics of patient management.
Full Text
##article.viewOnOriginalSite##About the authors
Irina V. Yubrina
North-Western State Medical University named after I.I. Mechnikov; Tuberculosis Dispansary No. 5
Email: zav-monitoring@ptd5spb.ru
ORCID iD: 0000-0003-4442-3171
SPIN-code: 3387-5719
MD, Cand. Sci. (Med.)
Russian Federation, Saint Petersburg; Saint PetersburgIgor A. Bozhkov
North-Western State Medical University named after I.I. Mechnikov; Tuberculosis Dispansary No. 5
Email: glvr@ptd5spb.ru
ORCID iD: 0000-0001-5586-9633
SPIN-code: 7240-8346
MD, Dr. Sci. (Med.)
Russian Federation, Saint Petersburg; Saint PetersburgLudmila N. Degtyareva
North-Western State Medical University named after I.I. Mechnikov
Author for correspondence.
Email: ludmila.degtyareva@szgmu.ru
ORCID iD: 0000-0001-8375-3363
SPIN-code: 5942-8540
ResearcherId: O-4144-2014
MD, Cand. Sci. (Med.), Assistant Professor
Russian Federation, Saint PetersburgDenis V. Karostik
Tuberculosis Dispansary No. 5
Email: d.karostik@gmail.com
ORCID iD: 0000-0003-3284-1421
SPIN-code: 8161-1338
Scopus Author ID: 57201056270
Russian Federation, Saint Petersburg
References
- Ovsyannikov ES, Аvdeev SN, Budnevskiy AV, et al. Bronchial Asthma and COVID-19: Comorbidity Issues. Tuberculosis and Lung Diseases. 2021;99(9):6–14. (In Russ.). doi: 10.21292/2075-1230-2021-99-9-6-14
- Drobot NN, Shevchenko NP, Shapolovskii VV. Comorbidity of tuberculosis and somatic pathology. Modern high technologies. 2010;(2):84. (In Russ.)
- Uryasjev OM, Ponomareva IB, Bhar MF, Glotov SI. The cough variant asthma. Therapeutic Archive. 2020;92(3):98–101. (In Russ.). doi: 10.26442/00403660.2020.03.000404
- Zaytsev АА. Cough: Through the Pages of International Recommendations. Еffektivnaya farmakoterapiya [Effective pharmacotherapy]. 2019;15(27):38–48. (In Russ.). doi: 10.33978/2307-3586-2019-15-27-38-48
- Chuchalin AG, Abrosimov VN. Кashel’ [Cough]. 4th ed. Moscow: GEOTAR-Media; 2017. (In Russ.)
- Abrosimov VN. Chronic cough. Therapy. 2016:(1(5)):4–12. (In Russ.)
- Chuchalin AG, Chaltaev NG, Abrosimov VN. Evaluation of prevalence of respiratory symptoms and opportunities of spirometric screening for diagnosis of chronic pulmonary diseases. Рul’monologiya. 2010;(2):56–61. (In Russ.). doi: 10.18093/0869-0189-2010-2-56-61
- Asanov AYu, Namazova LS, Pinelis VG, et al. Genetic foundations of the bronchial asthma. Pediatric pharmacology. 2008;5(4):33–37. (In Russ.)
- Desai D, Brightling C. Cough due to asthma, cough-variant asthma and non-asthmatic eosinophilic bronchitis. Otolaryngol Clin North Am. 2010;43(1):123–130. doi: 10.1016/j.otc.2009.11.006
- Zakon Sankt-Peterburga ot 25.12.2015 g. No. 835-166. Glava 17. Sotsial’naya podderzhka otdel’nykh kategorii lits v chasti obespecheniya lekarstvennymi preparatami… St. 771, St. 78. (In Russ.)
- Prikaz MZ RF ot 15 noyabrya 2012 goda No. 932n “Ob utverzhdenii poryadka okazaniya meditsinskoi pomoshchi bol’nym tuberkulezom”. (In Russ.)
- Prikaz MZ RF ot 29 dekabrya 2014 g. No. 951 “Ob utverzhdenii metodicheskikh rekomendatsii po sovershenstvovaniyu diagnostiki i lecheniya tuberkuleza organov dykhaniya”. (In Russ.)
- Prikaz MZ RF ot 29.03.2019 g. No. 173n “Ob utverzhdenii poryadka provedeniya dispansernogo nablyudeniya za vzroslymi”. (In Russ.)
- Bozhkov IA, Balasaniantc GS, Yubrina IV, et al. Temporary recommendations for the diagnosis, treatment of tuberculosis and dispensary observation in TB organizations during the COVID-2019 epidemic. Saint Petersburg; 2020. (In Russ.)
Supplementary files
