{"id":"https://openalex.org/W7220459115","doi":"https://doi.org/10.26442/20751753.2026.9.203683","title":"Comprehensive treatment using surgical methods in a teenage patient with advanced fibrotic-cavernous pulmonary tuberculosis. Case report","display_name":"Comprehensive treatment using surgical methods in a teenage patient with advanced fibrotic-cavernous pulmonary tuberculosis. Case report","publication_year":2026,"publication_date":"2026-10-05","ids":{"openalex":"https://openalex.org/W7220459115","doi":"https://doi.org/10.26442/20751753.2026.9.203683"},"language":"en","primary_location":{"id":"doi:10.26442/20751753.2026.9.203683","doi":"https://doi.org/10.26442/20751753.2026.9.203683","is_oa":true,"landing_page_url":"https://doi.org/10.26442/20751753.2026.9.203683","pdf_url":"https://consilium.orscience.ru/2075-1753/article/download/701448/227684","source":{"id":"https://openalex.org/S4210183259","display_name":"Consilium Medicum","issn_l":"2075-1753","issn":["2075-1753","2542-2170"],"is_oa":true,"is_in_doaj":true,"is_core":false,"listed_in":["doaj","russia-white-list-1"],"host_organization":null,"host_organization_name":null,"host_organization_lineage":[],"host_organization_lineage_names":[],"type":"journal"},"license":"cc-by-nc-sa","license_id":"https://openalex.org/licenses/cc-by-nc-sa","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Consilium Medicum","raw_type":"journal-article"},"volume":null,"type":"article","is_traditional":true,"indexed_in":["crossref","doaj"],"open_access":{"is_oa":true,"oa_status":"diamond","oa_url":"https://consilium.orscience.ru/2075-1753/article/download/701448/227684","any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5110717383","display_name":"\u041c\u0430\u043c\u0435\u0434 \u0410\u0434\u0438\u043b\u043e\u0432\u0438\u0447 \u0411\u0430\u0433\u0438\u0440\u043e\u0432","orcid":"https://orcid.org/0000-0001-9788-1024","observed_orcids":["https://orcid.org/0000-0001-9788-1024"]},"institutions":[{"id":"https://openalex.org/I4210141872","display_name":"Central Scientific Research Institute of Tuberculosis Russian Academy of Medical Sciences","ror":"https://ror.org/03z90hq89","country_code":"RU","type":"facility","lineage":["https://openalex.org/I1313323035","https://openalex.org/I1318325419","https://openalex.org/I4210110862","https://openalex.org/I4210141872"]}],"countries":["RU"],"is_corresponding":false,"raw_author_name":"Mamad A. Bagirov","raw_affiliation_strings":["Central Scientific Research Institute of Tuberculosis"],"raw_orcid":"https://orcid.org/0000-0001-9788-1024","affiliations":[{"raw_affiliation_string":"Central Scientific Research Institute of Tuberculosis","institution_ids":["https://openalex.org/I4210141872"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5065012965","display_name":"\u0422\u0430\u0440\u0430\u0441\u043e\u0432 \u0420\u0443\u0441\u043b\u0430\u043d \u0412\u044f\u0447\u0435\u0441\u043b\u0430\u0432\u043e\u0432\u0438\u0447","orcid":"https://orcid.org/0000-0001-9498-1142","observed_orcids":["https://orcid.org/0000-0001-9498-1142"]},"institutions":[{"id":"https://openalex.org/I4210141872","display_name":"Central Scientific Research Institute of Tuberculosis Russian Academy of Medical Sciences","ror":"https://ror.org/03z90hq89","country_code":"RU","type":"facility","lineage":["https://openalex.org/I1313323035","https://openalex.org/I1318325419","https://openalex.org/I4210110862","https://openalex.org/I4210141872"]}],"countries":["RU"],"is_corresponding":false,"raw_author_name":"Ruslan V. Tarasov","raw_affiliation_strings":["Central Scientific Research Institute of Tuberculosis"],"raw_orcid":"https://orcid.org/0000-0001-9498-1142","affiliations":[{"raw_affiliation_string":"Central Scientific Research Institute of Tuberculosis","institution_ids":["https://openalex.org/I4210141872"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5099177307","display_name":"Alexandra M. Zakharova","orcid":"https://orcid.org/0000-0001-5450-2610","observed_orcids":["https://orcid.org/0000-0001-5450-2610"]},"institutions":[{"id":"https://openalex.org/I4210141872","display_name":"Central Scientific Research Institute of Tuberculosis Russian Academy of Medical Sciences","ror":"https://ror.org/03z90hq89","country_code":"RU","type":"facility","lineage":["https://openalex.org/I1313323035","https://openalex.org/I1318325419","https://openalex.org/I4210110862","https://openalex.org/I4210141872"]}],"countries":["RU"],"is_corresponding":false,"raw_author_name":"Alexandra M. Zakharova","raw_affiliation_strings":["Central Scientific Research Institute of Tuberculosis"],"raw_orcid":"https://orcid.org/0000-0001-5450-2610","affiliations":[{"raw_affiliation_string":"Central Scientific Research Institute of Tuberculosis","institution_ids":["https://openalex.org/I4210141872"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5030397176","display_name":"\u0421\u0430\u0434\u043e\u0432\u043d\u0438\u043a\u043e\u0432\u0430 \u0421\u0432\u0435\u0442\u043b\u0430\u043d\u0430 \u0421\u0435\u0440\u0433\u0435\u0435\u0432\u043d\u0430","orcid":"https://orcid.org/0000-0002-6589-2834","observed_orcids":["https://orcid.org/0000-0002-6589-2834"]},"institutions":[{"id":"https://openalex.org/I4210141872","display_name":"Central Scientific Research Institute of Tuberculosis Russian Academy of Medical Sciences","ror":"https://ror.org/03z90hq89","country_code":"RU","type":"facility","lineage":["https://openalex.org/I1313323035","https://openalex.org/I1318325419","https://openalex.org/I4210110862","https://openalex.org/I4210141872"]}],"countries":["RU"],"is_corresponding":false,"raw_author_name":"Svetlana S. Sadovnikova","raw_affiliation_strings":["Central Scientific Research Institute of Tuberculosis"],"raw_orcid":"https://orcid.org/0000-0002-6589-2834","affiliations":[{"raw_affiliation_string":"Central Scientific Research Institute of Tuberculosis","institution_ids":["https://openalex.org/I4210141872"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5092877962","display_name":"Andrey S. Khozikov","orcid":"https://orcid.org/0000-0003-0308-9592","observed_orcids":["https://orcid.org/0000-0003-0308-9592"]},"institutions":[{"id":"https://openalex.org/I4210141872","display_name":"Central Scientific Research Institute of Tuberculosis Russian Academy of Medical Sciences","ror":"https://ror.org/03z90hq89","country_code":"RU","type":"facility","lineage":["https://openalex.org/I1313323035","https://openalex.org/I1318325419","https://openalex.org/I4210110862","https://openalex.org/I4210141872"]}],"countries":["RU"],"is_corresponding":false,"raw_author_name":"Andrey S. Khozikov","raw_affiliation_strings":["Central Scientific Research Institute of Tuberculosis"],"raw_orcid":"https://orcid.org/0000-0003-0308-9592","affiliations":[{"raw_affiliation_string":"Central Scientific Research Institute of Tuberculosis","institution_ids":["https://openalex.org/I4210141872"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":1,"corresponding_author_ids":[],"corresponding_institution_ids":["https://openalex.org/I4210141872"],"apc_list":null,"apc_paid":null,"fwci":0.0,"has_fulltext":true,"cited_by_count":0,"citation_normalized_percentile":{"value":0.0,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":null,"biblio":{"volume":"28","issue":"9","first_page":"760","last_page":"766"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10038","display_name":"Tuberculosis Research and Epidemiology","score":0.9976000189781189,"subfield":{"id":"https://openalex.org/subfields/2725","display_name":"Infectious Diseases"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T10038","display_name":"Tuberculosis Research and Epidemiology","score":0.9976000189781189,"subfield":{"id":"https://openalex.org/subfields/2725","display_name":"Infectious Diseases"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T11381","display_name":"Infectious Diseases and Tuberculosis","score":0.000699999975040555,"subfield":{"id":"https://openalex.org/subfields/2725","display_name":"Infectious Diseases"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T12578","display_name":"Diagnosis and treatment of tuberculosis","score":0.00039999998989515007,"subfield":{"id":"https://openalex.org/subfields/2725","display_name":"Infectious Diseases"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/adolescent-tuberculosis","display_name":"adolescent tuberculosis","score":0.8209999799728394},{"id":"https://openalex.org/keywords/drug-resistant-tuberculosis","display_name":"drug-resistant tuberculosis","score":0.8870000243186951},{"id":"https://openalex.org/keywords/hemoptysis","display_name":"hemoptysis","score":0.8830000162124634},{"id":"https://openalex.org/keywords/pneumoperitoneum","display_name":"pneumoperitoneum","score":0.8059999942779541},{"id":"https://openalex.org/keywords/hemostatic-therapy","display_name":"hemostatic therapy","score":0.625},{"id":"https://openalex.org/keywords/fibrobronchoscopy","display_name":"fibrobronchoscopy","score":0.8130000233650208},{"id":"https://openalex.org/keywords/mycobacterium-tuberculosis","display_name":"Mycobacterium tuberculosis","score":0.7200000286102295},{"id":"https://openalex.org/keywords/surgical-treatment-of-tuberculosis","display_name":"surgical treatment of tuberculosis","score":0.4740000069141388},{"id":"https://openalex.org/keywords/multidrug-resistant-tuberculosis","display_name":"multidrug-resistant tuberculosis","score":0.5220000147819519},{"id":"https://openalex.org/keywords/isoniazid-resistance","display_name":"isoniazid resistance","score":0.5540000200271606},{"id":"https://openalex.org/keywords/fluoroquinolone-resistance","display_name":"fluoroquinolone resistance","score":0.8799999952316284}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.9316999912261963},{"id":"https://openalex.org/C190892606","wikidata":"https://www.wikidata.org/wiki/Q3512464","display_name":"Radiological weapon","level":2,"score":0.5985999703407288},{"id":"https://openalex.org/C2781069245","wikidata":"https://www.wikidata.org/wiki/Q12204","display_name":"Tuberculosis","level":2,"score":0.5457000136375427},{"id":"https://openalex.org/C27415008","wikidata":"https://www.wikidata.org/wiki/Q7256382","display_name":"Psychological intervention","level":2,"score":0.5444999933242798},{"id":"https://openalex.org/C2908628106","wikidata":"https://www.wikidata.org/wiki/Q12204","display_name":"Pulmonary tuberculosis","level":3,"score":0.5249999761581421},{"id":"https://openalex.org/C61511704","wikidata":"https://www.wikidata.org/wiki/Q1671857","display_name":"Incidence (geometry)","level":2,"score":0.4578000009059906},{"id":"https://openalex.org/C141071460","wikidata":"https://www.wikidata.org/wiki/Q40821","display_name":"Surgery","level":1,"score":0.4560999870300293},{"id":"https://openalex.org/C2780665704","wikidata":"https://www.wikidata.org/wiki/Q959298","display_name":"Intervention (counseling)","level":2,"score":0.4528999924659729},{"id":"https://openalex.org/C81182388","wikidata":"https://www.wikidata.org/wiki/Q353963","display_name":"Complication","level":2,"score":0.4291999936103821},{"id":"https://openalex.org/C177713679","wikidata":"https://www.wikidata.org/wiki/Q679690","display_name":"Intensive care medicine","level":1,"score":0.4165000021457672},{"id":"https://openalex.org/C187212893","wikidata":"https://www.wikidata.org/wiki/Q123028","display_name":"Pediatrics","level":1,"score":0.39169999957084656},{"id":"https://openalex.org/C544519230","wikidata":"https://www.wikidata.org/wiki/Q32566","display_name":"Computed tomography","level":2,"score":0.34369999170303345},{"id":"https://openalex.org/C160735492","wikidata":"https://www.wikidata.org/wiki/Q31207","display_name":"Health care","level":2,"score":0.30379998683929443},{"id":"https://openalex.org/C61434518","wikidata":"https://www.wikidata.org/wiki/Q932510","display_name":"General surgery","level":1,"score":0.29820001125335693},{"id":"https://openalex.org/C2779134260","wikidata":"https://www.wikidata.org/wiki/Q12136","display_name":"Disease","level":2,"score":0.28859999775886536},{"id":"https://openalex.org/C2779473830","wikidata":"https://www.wikidata.org/wiki/Q1540899","display_name":"MEDLINE","level":2,"score":0.2858000099658966},{"id":"https://openalex.org/C2991743468","wikidata":"https://www.wikidata.org/wiki/Q166019","display_name":"Blood loss","level":2,"score":0.28349998593330383},{"id":"https://openalex.org/C2777714996","wikidata":"https://www.wikidata.org/wiki/Q7886","display_name":"Lung","level":2,"score":0.2743000090122223}],"mesh":[],"locations_count":2,"locations":[{"id":"doi:10.26442/20751753.2026.9.203683","doi":"https://doi.org/10.26442/20751753.2026.9.203683","is_oa":true,"landing_page_url":"https://doi.org/10.26442/20751753.2026.9.203683","pdf_url":"https://consilium.orscience.ru/2075-1753/article/download/701448/227684","source":{"id":"https://openalex.org/S4210183259","display_name":"Consilium Medicum","issn_l":"2075-1753","issn":["2075-1753","2542-2170"],"is_oa":true,"is_in_doaj":true,"is_core":false,"listed_in":["doaj","russia-white-list-1"],"host_organization":null,"host_organization_name":null,"host_organization_lineage":[],"host_organization_lineage_names":[],"type":"journal"},"license":"cc-by-nc-sa","license_id":"https://openalex.org/licenses/cc-by-nc-sa","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Consilium Medicum","raw_type":"journal-article"},{"id":"pmh:oai:doaj.org/article:4cca10da854645ba89b79b6759d37ace","doi":null,"is_oa":false,"landing_page_url":"https://doaj.org/article/4cca10da854645ba89b79b6759d37ace","pdf_url":null,"source":{"id":"https://openalex.org/S4306401280","display_name":"DOAJ (DOAJ: Directory of Open Access Journals)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":null,"host_organization_name":null,"host_organization_lineage":[],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"Consilium Medicum, Vol 28, Iss 9, Pp 760-766 (2026)","raw_type":"article"}],"best_oa_location":{"id":"doi:10.26442/20751753.2026.9.203683","doi":"https://doi.org/10.26442/20751753.2026.9.203683","is_oa":true,"landing_page_url":"https://doi.org/10.26442/20751753.2026.9.203683","pdf_url":"https://consilium.orscience.ru/2075-1753/article/download/701448/227684","source":{"id":"https://openalex.org/S4210183259","display_name":"Consilium Medicum","issn_l":"2075-1753","issn":["2075-1753","2542-2170"],"is_oa":true,"is_in_doaj":true,"is_core":false,"listed_in":["doaj","russia-white-list-1"],"host_organization":null,"host_organization_name":null,"host_organization_lineage":[],"host_organization_lineage_names":[],"type":"journal"},"license":"cc-by-nc-sa","license_id":"https://openalex.org/licenses/cc-by-nc-sa","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Consilium Medicum","raw_type":"journal-article"},"sustainable_development_goals":[{"score":1.0,"display_name":"Good health and well-being","id":"https://metadata.un.org/sdg/3"}],"study_designs":[{"display_name":"Case Report","id":"https://openalex.org/study-designs/case-report"}],"awards":[],"funders":[],"has_content":{"grobid_xml":true,"pdf":true},"content_urls":{"pdf":"https://content.openalex.org/works/W7220459115.pdf","grobid_xml":"https://content.openalex.org/works/W7220459115.grobid-xml"},"referenced_works_count":10,"referenced_works":["https://openalex.org/W2809985852","https://openalex.org/W3023036140","https://openalex.org/W3084896076","https://openalex.org/W4291250570","https://openalex.org/W4292674185","https://openalex.org/W4384026993","https://openalex.org/W4396784582","https://openalex.org/W4408642052","https://openalex.org/W4410854294","https://openalex.org/W4412420160"],"related_works":["https://openalex.org/W4399764832","https://openalex.org/W3176262150","https://openalex.org/W4408642052","https://openalex.org/W2462721510","https://openalex.org/W2062413324","https://openalex.org/W2075267757","https://openalex.org/W4398788079","https://openalex.org/W2419116414","https://openalex.org/W2097831624","https://openalex.org/W2041880717"],"abstract_inverted_index":{"According":[0],"to":[1,31,73,137,170,174,182,288,337],"the":[2,27,43,58,70,81,86,120,166,187,190,221,232,235,239,245,262,273,301,314,322,326,335,338,370],"World":[3],"Health":[4],"Organization,":[5],"approximately":[6,198],"12%":[7],"of":[8,19,26,46,61,83,101,122,147,218,234,261,266,272,279,313,318,325,340,372],"all":[9],"diagnosed":[10,108],"tuberculosis":[11,113,124],"cases":[12],"occur":[13],"in":[14,38,64,91,140,242,345],"children":[15,22],"under":[16,119],"14":[17,332],"years":[18],"age.":[20],"Notably,":[21],"account":[23],"for":[24,50,77,104,160,285],"15%":[25],"total":[28],"deaths":[29],"attributed":[30],"tuberculosis.":[32],"The":[33,114,254,329,342],"increasing":[34],"drug":[35],"resistance":[36,173],"observed":[37],"Mycobacterium":[39],"tuberculosis,":[40,54],"combined":[41,259,311],"with":[42,109,131,194,244],"limited":[44],"effectiveness":[45],"non-surgical":[47],"treatment":[48,103,159,188,330],"options":[49],"complicated":[51],"and":[52,66,145,177,269,292,321,366,369],"drug-resistant":[53],"as":[55,57],"well":[56],"lower":[59],"incidence":[60],"surgical":[62,89,250,306,358],"interventions":[63,90],"pediatric":[65,92],"adolescent":[67,347],"populations,":[68],"highlights":[69],"pressing":[71],"need":[72],"reevaluate":[74],"management":[75],"strategies":[76],"this":[78,84,203,346],"demographic.":[79],"Despite":[80],"significance":[82],"issue,":[85],"literature":[87],"addressing":[88],"patients":[93],"remains":[94],"scarce.":[95],"This":[96],"report":[97],"presents":[98],"a":[99,105,123,248,258,294,298,304,310,352,373],"case":[100],"comprehensive":[102],"17-year-old":[106],"patient":[107,115,167,191,302,348],"advanced":[110],"fibrous-cavernous":[111],"pulmonary":[112,156],"E.":[116],"has":[117],"been":[118],"care":[121],"specialist":[125],"since":[126],"2018,":[127],"following":[128],"close":[129],"contact":[130],"his":[132,183],"infected":[133],"mother.":[134],"He":[135],"began":[136],"exhibit":[138],"symptoms":[139],"July":[141],"2020,":[142,154],"including":[143],"dyspnea":[144],"episodes":[146],"hyperthermia.":[148],"Subsequent":[149],"examinations":[150],"on":[151],"September":[152],"24,":[153],"revealed":[155],"abnormalities,":[157],"prompting":[158],"6":[161],"months.":[162],"Upon":[163],"further":[164],"assessment,":[165],"was":[168,205,252,282,349],"found":[169],"have":[171],"developed":[172],"isoniazid,":[175],"rifampicin,":[176],"fluoroquinolones,":[178],"requiring":[179],"an":[180],"adjustment":[181],"therapeutic":[184],"regimen.":[185],"Throughout":[186],"course,":[189],"experienced":[192],"hemoptysis,":[193],"blood":[195],"loss":[196],"reaching":[197],"10":[199],"mL":[200,281],"per":[201],"day;":[202],"complication":[204],"effectively":[206],"resolved":[207],"through":[208,351],"hemostatic":[209],"therapy.":[210,341],"Computed":[211],"tomography":[212],"scans":[213],"identified":[214],"multiple":[215],"lung":[216],"cavities":[217],"varying":[219],"sizes,":[220],"largest":[222],"measuring":[223],"29\u00d725\u00d738":[224],"mm.":[225],"A":[226],"thorough":[227],"fibrobronchoscopy":[228],"did":[229],"not":[230],"identify":[231],"source":[233],"hemoptysis.":[236],"To":[237],"address":[238],"recurrent":[240],"hemoptysis":[241],"accordance":[243],"radiological":[246],"findings,":[247],"staged":[249,357],"intervention":[251],"undertaken.":[253],"first":[255],"stage":[256],"involved":[257],"resection":[260,271,312],"left":[263],"lung,":[264,316],"consisting":[265,317],"upper":[267,319],"lobectomy":[268,320],"partial":[270],"S6":[274],"segment.":[275],"An":[276],"artificial":[277],"pneumoperitoneum":[278],"1000\u20131200":[280],"used":[283],"weekly":[284],"three":[286],"months":[287],"facilitate":[289],"cavity":[290],"compression":[291],"induce":[293],"collapsogenic":[295],"effect.":[296],"Following":[297],"five-month":[299],"interval,":[300],"underwent":[303],"second":[305],"procedure,":[307],"which":[308],"entailed":[309],"right":[315],"precise":[323],"excision":[324],"S4":[327],"lesion.":[328],"lasted":[331],"months,":[333],"from":[334],"presentation":[336],"end":[339],"optimal":[343],"outcome":[344],"achieved":[350],"multifaceted":[353],"approach":[354],"that":[355],"included":[356],"interventions,":[359],"tailored":[360],"individualized":[361],"therapies":[362],"during":[363],"both":[364],"pre-":[365],"postoperative":[367],"periods,":[368],"implementation":[371],"collapsotherapy.":[374]},"counts_by_year":[],"updated_date":"2026-11-08T12:12:28.789561","created_date":"2026-10-06T00:00:00"}
