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[Extrapulmonary tuberculosis in our area. Forms of presentation].
F L Lado Lado1, V Tuñez Bastida, A L Golpe Gómez
1Servicio de Medicina Interna, Complejo Hospitalario Universitario, Santiago.
Anales De Medicina Interna (Madrid, Spain : 1984)
|February 24, 2001
Summary
Extrapulmonary tuberculosis (TB) is common, affecting over 40% of patients and presenting with diverse forms, including pleural and ganglionary. This highlights the need for increased sensitivity in diagnosing extrapulmonary TB presentations.
Area of Science:
- Infectious Diseases
- Public Health
- Epidemiology
Background:
- Tuberculosis (TB) remains a significant global health challenge.
- Extrapulmonary tuberculosis (TB) presentations are often underdiagnosed.
- Understanding the distribution of extrapulmonary TB (EFP) is crucial for effective control.
Purpose of the Study:
- To analyze the distribution and characteristics of extrapulmonary forms of tuberculosis (EFP) within a specific health district.
- To identify common sites of extrapulmonary TB involvement.
- To assess EFP distribution in HIV-infected patients.
Main Methods:
- Retrospective review of medical records for patients diagnosed with extrapulmonary tuberculosis.
- Data collected from the Tuberculosis Prevention and Control Unit over a three-year period.
- Classification of EFP included extrapulmonary forms (EF), mixed forms (MF), disseminated forms (DF), and miliary TB.
Main Results:
- Out of 921 TB patients, 370 (40.2%) had extrapulmonary forms.
- The most common EF were pleural (45.6%) and ganglionary (28.3%).
- In HIV-infected patients, ganglionary EFP and disseminated forms were observed.
Conclusions:
- Extrapulmonary TB incidence is high, comparable to pulmonary forms.
- The study reveals a modified classical presentation of TB, emphasizing the need for diagnostic sensitivity.
- Findings underscore the importance of considering diverse EFP in clinical practice.