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Case Presentations in Clinical Tuberculosis

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Case Presentations in Clinical Tuberculosis Davies PDO, Ormerod LP. (Pp 320; £29.99). Edward Arnold. ISBN 0 340741 597.

This text is a thorough but concise overview of clinical tuberculosis presented as a well structured series of cases with clearly reproduced radiographs, computed tomographic scans, and slides. Each case is complemented by a short pertinent discussion clarifying any points of interest or debate. A carefully chosen chapter layout sequentially introduces the reader to the most challenging and interesting aspects of the disease and also provides an easy reference framework.

The authors' obvious wealth of experience allows readers with a more limited exposure to learn something of the more unusual manifestations of infection, including an extensive range of extrapulmonary and multisystem disease. The complex matter of antituberculous treatment in the emergent group with drug resistant mycobacterial infection, comorbidity, or compliance problems is tackled in some depth, highlighting potential pitfalls and explaining, in a real clinical context, the reasons behind the decisions made.

The difficulties associated with the diagnosis and management of tuberculosis in patients with human immunodeficiency virus are well illustrated, but not exhaustively covered, in a chapter whose commentary sections are particularly full and instructive.

Most of the 120 featured case presentations have a short list of affiliated references aimed to guide, rather than delineate in detail, further research of the points of interest raised.

The format of the book ensures an enjoyable and pragmatic approach to learning about tuberculosis, thus making it directly relevant to all those involved in the medical care of patients with the condition, especially at a training level. It would be an ideal accompaniment to existing formal textbooks.—ILJ