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[Mycobacteria tuberculosis bacteremia].

P F Yeh1, P Y Lee

  • 1Cheng Hsiung Rehabitation & Medical Center, Veterans General Hospital-Taipei.

Zhonghua Yi Xue Za Zhi = Chinese Medical Journal; Free China Ed
|April 1, 1991
PubMed
Summary
This summary is machine-generated.

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Tuberculosis (TB) bacteremia is rare in newly diagnosed patients, with only one case identified in a miliary TB patient. This study investigated TB bacteremia incidence and disease patterns in Taiwan.

Area of Science:

  • Infectious Diseases
  • Microbiology
  • Pulmonology

Context:

  • Mycobacterial bacteremia is common in AIDS patients, often caused by Mycobacterium avium-intracellulare.
  • Tuberculosis (TB) bacteremia is infrequently reported despite historical descriptions.
  • Taiwan diagnoses approximately 12,000 new TB cases annually, necessitating local incidence data.

Purpose:

  • To determine the incidence of Mycobacterium tuberculosis bacteremia in newly diagnosed TB patients in Taiwan.
  • To explore potential correlations between TB bacteremia and specific TB disease patterns.

Summary:

  • A lysis-centrifugation blood culture system was employed from January 1989 to June 1990.
  • Twenty-seven newly diagnosed TB patients, confirmed by chest X-ray, bacteriology, and/or pathology, were enrolled.

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  • Only one case of TB bacteremia was detected, occurring in a patient with miliary TB.
  • Impact:

    • Highlights the low incidence of Mycobacterium tuberculosis bacteremia in immunocompetent, newly diagnosed TB patients.
    • Suggests that extensive diagnostic workups for bacteremia may not be routinely necessary for all TB cases.
    • Provides baseline data on TB bacteremia in Taiwan, informing clinical practice and future research.