Background  Tuberculosis has got high priority within the health sector as a major public health problem and directly observed therapy short course (DOTS) strategy has been planned to be implemented widely to control the disease and its management. Objectives  To assess knowledge of the patients’ on various aspects of tuberculosis and show the six mutually exclusive outcome of treatment regimen under directly observed therapy short course (DOTS). Patients and Methods  A prospective case follow up study has been carried out on 110 patients attending consultation clinic for Chest and Respiratory Diseases in Kirkuk, for the period from the 1st of April to 31st of December 2009.Tuberculous patients were followed up for the next six months period under DOTS program including two phases Results  Regarding knowledge of patients about routes of transmission and risk factors, there was statistically significant difference between different educational levels (P<0.05), the highest percentage being among secondary school level patients (28.6%). Occupation had a significant effect on patients’ knowledge on treatment regimen , in high score knowledge group (4-6) among students was 100%which was statistically significant. The outcome of treatment regimen was 99.1% treatment success (cure and completed treatment); 0.9% had relapsed and no unfavorable outcome was noticed. Conclusion  Overall knowledge of patients was low regarding routes of transmission, risk factors and treatment regimen.

A case of chronic deteriorating chest infection was misdiagnosed as pulmonary tuberculosis, treated for more than 15 months with very slow response. Later the diagnosis was reviewed and decision of interstitial lung disease was suggested and patient was put on long term steroid therapy. Nocardial pulmonary infection was suspected and diagnosis was confirmed by direct sputum examination, culture and sensitivity testing and the patient responded well to treatment.

Bu olgu sunumunda, öksürüğü, hırıltılı solunumu ve iki kez hemoptizi hikâyesi olan 21 yaşındaki öğrenci bayan hastamızı sunmak istedik. Hastanın balgam materyali incelendiğinde, sarımtırak kahverengi yumurtalar tespit edilmiştir.