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Article
Characteristics of Extra Pulmonary TB Cases in the Specialized Center for Chest and Respiratory Disease

Authors: Mohammad Yahya Abdulrazaq*, --- Abdulla Janger Al-Farttoosi --- Hayder H.Ali Al-Sikafi
Journal: Iraqi Academic Scientific Journal المجلة العراقية للاختصاصات الطبية ISSN: 16088360 Year: 2012 Volume: 11 Issue: supplement Pages: 593-599
Publisher: The Iraqi Borad for Medical Specialization المجلس العراقي للاختصاصات الطبية

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Abstract

ABSTRACT:BACKGROUND:Tuberculosis (TB) is a serious global problem. It remains the number one killer infectious disease in developing countries. The clinical manifestations of TB could be either Pulmonary or Extra pulmonary (EPTB).Extrapulmonary tuberculosis involves relatively inaccessible sites, and often, because of the vulnerability of the areas involved, much greater damage can be caused by fewer bacilli..In 2007 in the United States, 20% of newly reported cases of tuberculosis involved extrapulmonary sites only In order of frequency, the extrapulmonary sites most commonly involved in TB are the lymph nodes, pleura, genitourinary tract, bones and joints, meninges, peritoneum, and pericardium. However, virtually all organ systems may be affected.OBJECTIVE:This study was done to identify the Characteristics of extra pulmonary TB cases.METHODS :A cross sectional study was done in the specialized center for chest and respiratory disease in Baghdad and respiratory department in the early cancer detection center during the period 9th of January 2011 – 9th of June 2011.Any patient attending the specialized center for chest and respiratory disease in Baghdad during the study period diagnosed as a new case of extrapulmonary TB was enrolled in this study, also Any patient attending respiratory department in the early cancer detection center during the study period diagnosed as a new case of extrapulmonary TB was enrolled in this study.A total number of 70 TB patients were enrolled in this study. 35 male TB cases and 35 female TB casesRESULTS:In the male group 20 cases (57%) with pleural TB, 2 cases (5.7%) with uveitis-eye TB, 2 cases (5.7%) with pericarditis TB , 2 cases (5.7%) with orchitis TB , 2 cases (5.7%) with meningitis TB , 2 cases (5.7%) with miliray TB , 2 cases (5.7%) with skin TB , 2 cases (5.7%) with LN TB , and 1 case (2.85%) had osteoarticular TB.In the female group 17 cases (48.5%) had pleural TB , 7 cases (20%) with LN TB , 4 cases (11.4%) with osteoarticular TB , 4 cases (11.4%) had peritonitis TB , 1 case (2.85%) had thyroid TB , 1 case (2.85%) had salpingitis TB , and 1 case (2.85%) with breast TB.CONCLUSION:Pleural TB cases consist of more than half the extrapulmonary TB cases , and LN , osteoarticular and peritoneal TB cases consist of about quarter of the extrapulmonary TB cases , while all other cases form the remnant quarter


Article
Abdominal Tuberculosis: Clinical Presentation, Diagnosis, Outcome and Experience with 11 Cases

Author: Ibrahim Falih Noori
Journal: Medical Journal of Babylon مجلة بابل الطبية ISSN: 1812156X 23126760 Year: 2015 Volume: 12 Issue: 3 Pages: 581-591
Publisher: Babylon University جامعة بابل

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Abstract

Tuberculosis is a common health problem. Abdominal tuberculosis constitutes about 2% of all tubercular cases and it’s the sixth most common extrapulmonary tuberculosis. The aim of this study was to evaluate the clinical presentation, diagnosis and effective treatment of abdominal tuberculosis. This is a retrospective study including 11 patients (4males and 7 females), with clinical features of abdominal tuberculosis. They were divided according to the clinical presentation into two groups. The first group included patients presented as acute abdominal pain mainly due to bowel obstruction or as peritonitis and were prepared and treated by explorative laparotomy and definitive diagnosis of abdominal TB was made by tissue biopsy. The second group included patients with chronic symptoms. The results observed in this study were that abdominal pain was the commonest symptom followed by abdominal distention, anorexia, weight loss and fever. Tender right lower abdominal quadrant was found in 7 patients(63.6%) and right iliac fossa mass was found in 3 patients (27.3%). Explorative laparotomy was needed for 5 patients (45.5%) who presented as acute abdomen. Strictures were found in 3 patients (27.3%), adhesion in one patient (9.1%) and peritonitis caused by perforation in the terminal ileum was recorded in one patient. Ascitic fluid analysis for AFB stain and culture confirm the diagnosis of abdominal tuberculosis in patients who presented with chronic symptoms of tuberculosis. All patients showed good response to ATT therapy. No mortality or recurrence was recorded during ATT treatment or during follow up period. We concluded that abdominal tuberculosis is difficult to diagnose due to vague and non specific symptoms and signs such as abdominal pain, anorexia, weight loss and fever. High index of suspicion and clinical awareness is needed for definite diagnosis which depends on PCR or histopathology or AFB stain.

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