4.1. CLINICAL CLASSIFICATION OF LUNG TUBERCULOSIS
Russian Federation?s clinical classification of tuberculosis is based on the following principles:
• clinical-radiological features of tuberculosis disease process (including localization and extent);
• phases of the tubercular process;
• presence of bacterial emission.
The each case of tuberculosis is evaluated according to four categories:
• the clinical form;
• the characteristics of tubercular process;
• the complications of tuberculosis;
• residual changes after recovery of tuberculosis.
Clinical forms of tuberculosis differentiate according to localization and clinical-radiological features taking into consideration pathogenetic and patho-morphological characteristics of tubercular process.
• Tuberculous intoxication in children and adolescents.
• Tuberculosis of the respiratory organs:
- primary tuberculosis complex;
- tuberculosis of the intra thoracic lymph nodes;
- disseminated pulmonary tuberculosis;
- miliary pulmonary tuberculosis;
- focal pulmonary tuberculosis;
- infiltrative pulmonary tuberculosis;
- caseous pneumonia;
- pulmonary tuberculoma;
- cavitary pulmonary tuberculosis;
- fibrotic - cavitary pulmonary tuberculosis;
- cirrhotic pulmonary tuberculosis;
- tuberculous pleurisy (including empyema);
- bronchus, trachea, upper respiratory tract tuberculosis.
• Tuberculosis of the respiratory organs combined with professional lung diseases (Coniotuberculosis).
• Tuberculosis of other organs and systems (Non-pulmonary TB):
- meningeal and central nervous system tuberculosis;
- tuberculous colitis, peritoneal and mesenteric lymph nodes tuberculosis;
- tuberculosis of bones and joints;