The evaluation of the cases with extrapulmonary tuberculosis

Authors : Arzu TARAKÇI, Esma EROĞLU, Fatma ÇÖLKESEN, Fatma KACAR, Şule ÖZDEMİR ARMAĞAN, Selver CAN

Pages : 451-456

Doi:10.32322/jhsm.923770

View : 25 | Download : 13

Publication Date : 2021-07-15

Article Type : Research Paper

Abstract :Objective: Tuberculosis insert ignore into journalissuearticles values(TB); that can involve all organs is a disease progressing with a wide range of clinical presentations. It is especially difficult to diagnose the cases of extrapulmonary tuberculosis insert ignore into journalissuearticles values(EPTB); due to the atypical course, and the cases of EPTB constitute approximately 35% of all TB cases in our country. In our study, it was aimed to examine the distribution rates, diagnostic methods, and treatment processes of EPTB in terms of the involved systems. Material-Method: Of 308 patients diagnosed with TB, 119 cases having EPTB were retrospectively analyzed in The Konya Training and Research Hospital of Health Sciences University between 1st January 2015 and 30th June 2019. Results: While 119 insert ignore into journalissuearticles values(38.6%); EPTB cases of 308 cases diagnosed with TB were included in the study. 63 insert ignore into journalissuearticles values(52.9%); and 56 insert ignore into journalissuearticles values(47%); patients were women and men, respectively. The average age was found as 44.42±18.8 years insert ignore into journalissuearticles values(min: 18- max: 91 years);. The distribution of involvement sites of EPTB was as follows: lymphadenitis, 45.3%; pleural tuberculosis, 24.3%; peritonitis, 14.2%; bone-joint tuberculosis, 7.5%; meningitis, 2.5%; miliary tuberculosis, 1.6%; others, 4.2%. In terms of EPTB, 83 insert ignore into journalissuearticles values(69.7%); cases were diagnosed histopathologically, 28 insert ignore into journalissuearticles values(23.5%); and nine insert ignore into journalissuearticles values(7.5%); were found to have culture and acido-resistant bacilli insert ignore into journalissuearticles values(ARB); positivity, respectively. A total of 29 insert ignore into journalissuearticles values(24.3%); cases were diagnosed microbiologically, and the purified protein derivative insert ignore into journalissuearticles values(PPD); positivity was detected in 106 insert ignore into journalissuearticles values(89%); cases. While the success rate of the treatment was found to be 93.2%, the mortality rate was measured as 3.3%. Conclusion: It should be kept in mind that TB is a common multisystem disease in our country and may present itself with a wide range of symptoms. In the presence of clinical suspicion, supportive tests should be performed; biopsy and culture samples should be obtained from the appropriate tissues; anti-TB treatment should be initiated at once if clinicians have sufficient evidence.
Keywords : Extrapulmonary tuberculosis, lymphadenitis, pleural tuberculosis, histopathological, microbiological