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Chapter 4. CLINICAL CLASSIFICATION OF TUBERCULOSIS

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;

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