TUBERCULOSIS AND SPINE OSTEOMYELITIS DIAGNOSIS

摘要

FIELD: medicine.;SUBSTANCE: invention relates to medicine, namely to the phthisiology and it can be used for differential diagnosis of tuberculosis and spine osteomyelitis. The diagnostic criterion of tuberculosis and spine osteomyelitis is calculated by the formula using five most significant clinical and laboratory coded indicators. Figure 1 is a code for gradual start of the disease, lymphocyte transformation reaction with permanent positive pressure (R) 6%, adenosine deaminase values (A) 19.8 units/l, ELISA analysis indicators (I) 0.2 units. RP, consumption reaction values of complement with tuberculosis antigen (K) 17 standard units. Figure 2 is a code for the beginning of acute illness, R 6%, A 19.8 units / l, I 0.2 unit, RP, K 17 standard units. Ciphers of clinical and laboratory values are included into the diagnostic indicator of tuberculosis and spine osteomyelitis formula: Y₁ (TB diagnostic indicator of the spine) = 90.0xO +35.5xR +31.7xA-21.1xI+13.1xK-100,3; Y₂ (Diagnostic spine osteomyelitis index) = 139.0xO +50.5xR+45.5xA-32,7xI +19.8xR-220.2. The values Y₁ and Y₂ are calculated. The maximum diagnostic index "Y" indicates a form of the disease entity the patient suffers from. The method allows to establish the diagnosis more accurately.;EFFECT: increasing of accuracy in tuberculosis and spine osteomyelitis diagnosis.;1 tbl, 2 ex