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Tuberculosis and the surgeon.

L A Langdale1, M Meissner, C Nolan

  • 1Department of Surgery, University of Washington, Seattle.

American Journal of Surgery
|May 1, 1992
PubMed
Summary
This summary is machine-generated.

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Surgery plays a vital role in diagnosing and managing tuberculosis (TB) complications. Invasive procedures were necessary for diagnosis in 36% of patients, highlighting surgery

Area of Science:

  • Medicine
  • Infectious Diseases
  • Surgery

Background:

  • Active tuberculosis (TB) is resurging in the United States.
  • Surgeons are increasingly involved in managing primary TB and its complications.

Purpose of the Study:

  • To define the role of surgery in the diagnosis and treatment of tuberculosis during the 1990s.
  • To review surgical interventions for TB patients requiring invasive procedures.

Main Methods:

  • A 5-year retrospective review of 121 tuberculosis patients.
  • Analysis of patients requiring invasive procedures for diagnosis and treatment.

Main Results:

  • Mycobacterium tuberculosis was cultured in 68% of patients; atypical mycobacteria in 19%.

Related Experiment Videos

  • Tissue diagnosis was required in 36% of cases.
  • Pulmonary TB complications necessitated operative intervention in 19 patients (20.4% of pulmonary TB cases).
  • Extrapulmonary TB affected 45% of patients, including nine with miliary TB.
  • 11% of patients were seropositive for human immunodeficiency virus (HIV).

    • Conclusions:

    • Surgery is essential for diagnosing and treating complex tuberculosis cases.
    • Tuberculosis re-emergence affects both immunocompromised and immunocompetent individuals.
    • The study underscores the importance of surgical involvement in contemporary TB management.