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Tuberculous pleurisy

D A Enarson, E Dorken, S Grzybowski

    Canadian Medical Association Journal
    |March 1, 1982
    PubMed
    Summary
    This summary is machine-generated.

    Tuberculous pleurisy incidence in Canada and British Columbia was low and declining. This pleural disease often followed primary tuberculosis infection, with limited bacteriologic confirmation.

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    Area of Science:

    • Public Health
    • Infectious Diseases
    • Epidemiology

    Background:

    • Tuberculous pleurisy is a significant manifestation of tuberculosis.
    • Understanding its incidence and trends is crucial for public health strategies.

    Purpose of the Study:

    • To analyze the incidence and trends of tuberculous pleurisy in Canada and British Columbia.
    • To identify patterns in the occurrence of tuberculous pleurisy relative to primary infection.

    Main Methods:

    • Retrospective review of notified cases of tuberculous pleurisy.
    • Data collected from Canada (1970-1974) and British Columbia (1967-1976).

    Main Results:

    • Low annual incidence, under nine cases per million population, observed during the study periods.

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  • A declining trend in incidence was noted.
  • The disease frequently occurred a few months post-primary tubercle bacilli infection.
  • Bacteriologic confirmation was achieved in only 40% of cases due to inconsistent culturing of biopsy specimens.
  • Conclusions:

    • Tuberculous pleurisy incidence was low and decreasing in the studied Canadian regions.
    • The temporal relationship suggests a link between primary infection and pleural disease.
    • Diagnostic confirmation challenges highlight the need for improved laboratory practices.