[Clinical and morphological characterizations of first detected cases of caseous pneumonia and its outcomes under conditions of current antibacterial therapy].

The paper provides a clinical and X-ray picture of first detected caseous pneumonia. It shows the potentialities of currently available antibiotic therapy used in patients with this diagnosis. At the same time closure of decay cavities and eradication of bacteria can be achieved only in 29% of cases. The major outcome of caseous pneumonia is fibrocavernous tuberculosis. Thus, surgical methods must play an important role in curing such patients. A detailed morphological characterization of surgical materials has demonstrated that active chemotherapy may result in 3 types of caseous pneumonia outcomes: acute progression, chronicity tended to progression, and the development of fibrocavernous tuberculosis. The morphological studies have provided evidence for the validity of the clinical and X-ray dynamics of the disease and for the correctness of choice of surgical policy.