The coexistence of tuberculosis infection and lung cancer in patients treated in pulmonary department of Medical Academy in Lublin during last ten years (1990-2000).

The coexistance of tuberculous infection (TB-infection) and lung cancer in patients treated in Pulmonary Department of Medical Academy in Lublin during last ten years (1990-2000) has been evaluated. Inclusion criteria involved: aging from 50 to 80 years, tobacco smoking, tuberculous infection in present or in past, lung cancer. All analyzed patients (32 males, 13 females) were heavy smokers (from 10 to 70 cigarettes per day, during at least 5 years). 27 patients were suffered from lung tuberculosis in past, the rest of them had active tuberculous infection. In 19 cases we detected carcinoma planoepitheliale, in 13 cases carcinoma macrocellulare, in 7 cases carcinoma microcellulare and in 6 cases adenocarcinoma. We concluded, that increased occurrence of lung cancer in TB reinfected patients may be connected with immunodepression caused by chronic TB infection. In patients with new active TB-infection in whom the clinical status and chest X-ray were getting worse in spite of antituberculotic treatment recommended procedures for cancer diagnosis were performed. We suggest that bad results of anti-tuberculotic treatment in TB-infected patients are not always caused by bactericidal resistance. In these cases, the proper diagnosis of lung cancer should be considered.

[Pulmonary tuberculosis in youth treated at the Clinic of Lung Diseases and Tuberculosis in 1990-1994]. / Zapadalnosc na gruzlice pluc miodych leczonych w klinice chorób pluc i gruzlicy w latach 1990-1994.

An analysis of pulmonary tuberculosis morbidity risk factors has been presented among patients treated in the Clinic during the period 1990-94. Among the morbidity risk factors, apart from the presence of concomitant diseases, the deterioration of the standard of living of the population and the low level of health education, observed even among people with higher education, was of prime importance, followed by a limited number of radiographic, catastral examinations.

[Tuberculous meningitis--a diagnostic and treatment problem]. / Gruzlicze zapalenie opon mózgowo-rdzeniowych--problem diagnostyczny i leczniczy.

Tuberculous meningitis is one of the most serious form of tuberculosis. The delay in diagnosing of tuberculous meningitis results in high mortality. An early diagnosis allows to achieve successful effects of treatment.