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[Tuberculosis in elderly patients. Presentation forms].

F L Lado Lado¹, V Tuñez Bastida, A L Golpe Gómez

¹Servicio de Medicina Interna, Complejo Hospitalario Universitario de Santiago, C/A Choupana s/n. 15706 Santiago de Compostela, A Coruña.

Anales De Medicina Interna (Madrid, Spain : 1984)

|May 16, 2002

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Extrapulmonary tuberculosis (TB) is common in elderly patients, often presenting atypically. This study analyzed TB forms in older adults, highlighting the need for careful diagnosis.

Area of Science:

Geriatric Medicine
Infectious Diseases
Public Health

Context:

Tuberculosis (TB) presentation varies significantly with age.
Elderly populations often exhibit atypical disease manifestations.
Understanding TB forms in older adults is crucial for effective control.

Purpose:

To analyze the distribution of tuberculosis forms in elderly patients.
To identify patterns in pulmonary, extrapulmonary, and disseminated TB in individuals aged 65 and above.

Summary:

A review of 278 elderly TB patients (mean age 75.3) revealed 55.8% had pulmonary TB, 23.7% had extrapulmonary TB (most commonly ganglionary), and 16.9% had mixed forms.
Extrapulmonary TB was prevalent, with diverse locations including ganglionary, bone/joint, and intestinal.

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No HIV-coinfected patients were observed in this cohort.

Impact:

Findings confirm a high incidence of extrapulmonary TB in the elderly.
The study underscores the need for heightened clinical suspicion and diagnostic sensitivity for TB in older adults due to modified disease presentation.