Tuberculosis

Tuberculosis

Surgery is rarely indicated for tuberculosis in resource-rich countries but, when it is, it must be combined with adequate antitubercular chemotherapy or the benefit of surgery will be lost. Summary box 60.5 Tuberculosis: indications for surgery /uni25CF /uni25CF /uni25CF /uni25CF Diagnosis Surgical procedures may be necessary to establish the diag nosis if suspected clinically but sputum or pus cultures are persistently negative. Complications such as an aspergilloma in a chronic cavity causing life-threatening haemoptysis may require lobectomy

Suspicious lesion on chest radiograph in which neoplasia cannot be excluded Chronic tuberculous abscess, resistant to chemotherapy Aspergilloma within a tuberculous cavity Life-threatening haemoptysis