Study of respiratory symptoms among sputum positive

Study of respiratory symptoms among sputum positive Study of respiratory symptoms among sputum positive

10.04.2013 Views

flctnowfedgment ;;r.:: First of all I thank ALLAH the All Mighty, the Gracious, all knowing for his aid and guidance. My extreme thanks and gratefulness to the pioneer (])r: .Jllimecf jf.mr 9Vl. rr: 5tto6aslier professor ofChest Diseases Zagazig Faculty of Medicine, for his great effort, guidance, and moral support all through this work. I'd like to express my deepest gratitude to CDr. CEnsaf.Jl6tfef \ qawacf .Jlzazy, professor of Bacteriology Zagazig Faculty of Medicine for his valuable supervision, continuous encouragement all through this study. My thanks and appreciation to Dr. qelian Safali Osman lecturer of Chest Diseases Zagazig Faculty of Medicine for her strict supervision and revision ofwork. My thanks and appreciation to a»: ::Mostafa Ibrahim "=1 (j{alJa6 lecturer of Chest Diseases Zagazig Faculty ofMedicine for his -, ·1. patience and strict supervision and his invaluable advice helped me a lot. My appreciation to CDr. Hosam .J/.f-5liar!ig.1V), assistant professor ofBacteriology Faculty ofMedicine, Zagazig University, for his help in practical part ofbacteriology. Finally, more thanks for all the staffofChest Department, Zagazig Faculty of Medicine, especially t». WflJ{FD 9rt(YJ{)I9rt9rtp.([) S:J{oV:M..J/.!N for his great help and support. my patients, my colleagues, nursing staff and thanks to every one made any effort for this work to be a reality.

CONTENTS • Introduction and aim of the work ---------------------------- 1 • Review of Literature --------------------------------------------- 4 Tuberculous mycobacteria -------------------------------- 4 Components of tuberculous lesion --------------------- 10 Pulmonary tuberculosis ----------------------------------- 23 Primary pulmonary tuberculosis ------------------ Post primary pulmonary tuberculosis 32 Miliary tuberculosis 40 Diagnosis of pulmonary tuberculosis-------------------- 44 • Patients and methods -------------------------------------------- 67 • Res ults -------------------------------------------------------------- 81 • Discussion ---------------------------------------------------------- 113 • Summary and conclusion -------------------------------------- 129 • Recommen dati0 ns ------------------------------------------------ 136 • References --------------------------------------------------------- 137 • APpen dix ----------------------------------------------------------- 177 • Arabic Summary ------------------------------------------------- Page 26

flctnowfedgment<br />

;;r.:: First <strong>of</strong> all I thank ALLAH the All Mighty, the Gracious, all<br />

knowing for his aid and guidance.<br />

My extreme thanks and gratefulness to the pioneer (])r: .Jllimecf<br />

jf.mr 9Vl. rr: 5tto6aslier pr<strong>of</strong>essor <strong>of</strong>Chest Diseases Zagazig Faculty <strong>of</strong><br />

Medicine, for his great effort, guidance, and moral support all through this<br />

work.<br />

I'd like to express my deepest gratitude to CDr. CEnsaf.Jl6tfef<br />

\ qawacf .Jlzazy, pr<strong>of</strong>essor <strong>of</strong> Bacteriology Zagazig Faculty <strong>of</strong><br />

Medicine for his valuable supervision, continuous encouragement all<br />

through this study.<br />

My thanks and appreciation to Dr. qelian Safali Osman<br />

lecturer <strong>of</strong> Chest Diseases Zagazig Faculty <strong>of</strong> Medicine for her strict<br />

supervision and revision <strong>of</strong>work.<br />

My thanks and appreciation to a»: ::Mostafa Ibrahim<br />

"=1 (j{alJa6 lecturer <strong>of</strong> Chest Diseases Zagazig Faculty <strong>of</strong>Medicine for his<br />

-, ·1.<br />

patience and strict supervision and his invaluable advice helped me a lot.<br />

My appreciation to CDr. Hosam .J/.f-5liar!ig.1V), assistant<br />

pr<strong>of</strong>essor <strong>of</strong>Bacteriology Faculty <strong>of</strong>Medicine, Zagazig University, for his<br />

help in practical part <strong>of</strong>bacteriology.<br />

Finally, more thanks for all the staff<strong>of</strong>Chest Department, Zagazig<br />

Faculty <strong>of</strong> Medicine, especially t». WflJ{FD 9rt(YJ{)I9rt9rtp.([)<br />

S:J{oV:M..J/.!N for his great help and support. my patients, my colleagues,<br />

nursing staff and thanks to every one made any effort for this work to be a<br />

reality.

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