Discussion. Volume 41, No. 4 (1960)

V. D. Goldstein (Moscow). Regarding the article by BL Mazur "Clinic and differential diagnosis of tuberculosis" I would like to state some comments on the article by prof. BL Mazur, published in No. 6 of "Kazan Medical Journal" for 1959. 1. The author reports that "the course of tuberculosis has become easier", but at the same time points out that in the phase of disintegration), with giant cavities, with severe sclerosis. " The contradictions noted can only cause bewilderment. It is true that the latest treatment methods that have found widespread use in recent years, especially the advances in chemotherapy for tuberculosis, have made it possible to change the prognosis of some forms of pulmonary tuberculosis (acute miliary tuberculosis, subacute disseminated pulmonary tuberculosis) and have significantly expanded our therapeutic options for other forms of pulmonary tuberculosis. However, the use of chemotherapy, as a rule, cannot cure patients with chronic fibrous-cavernous pulmonary tuberculosis, contributing only to an increase in their life expectancy. Associated with this is the increase noted by the author in cases of amyloidosis, pulmonary heart failure, hemoptysis. At the same time, according to the available data, the number of patients with infiltrative pulmonary tuberculosis did not increase, as the author believes, but remained at about the same level.