Akciğer dışı tüberküloz Kocaeli Verem Savaş Dispanseri'nde takip edilen 331 olgunun retrospektif incilenmesi
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INTRODUCTION: We aimed to evaluate the demographics, localisation, diagnostic methods and treatment outcome of patients with extrapulmonary tuberculosis treated between 2005 and 2011 in Kocaeli Tuberculosis Dispansary, Turkey. METHODS: We retrospectively reviewed medical charts of patients. We excluded patients who transferred to the other dispanseria or those medical records couldn’t be obtained. RESULTS: A total of 331 extrapulmonary tuberculosis patients (52% female, 48% male ) with a mean age of 39,2 (±17,6) years were registered for treatment. Sites of extrapulmonary tuberculosis were lymph node in 119 (36%) patients, pleural in 112 (33,9%), bone and joint in 31 (9.4%), genital in 17 (5,1%), gastrointestinal in 15 (4.5%), skin in 9 (2.7%), urinary in 8 (2,4%), miliary in 6 (1.8%), central neural system in 6 (1.8%), pericardial in 6 (1,8%) breast in 2 (%0,6) and larynx in 1 (0,3%) patients. Pleural tuberculosis were common in male and young age, lymph node tuberculosis were common in female. Histopathological methods in 228 (68,9%), microbiological methods in 17 patients, both microbiological and histopathological methods in 4 patients (1,2%) and clinical, radiological and other methods were used in 82 (24,8%) patients for diagnosis. 311 patients (94%) had a successful treatment outcome. Of patients with unsuccessful outcome, 12 (3.6%) had defaulted, 8 (2.4%) had died. DISCUSSION AND CONCLUSION: Altough tuberculosis can disseminate all tissues, lymph node and pleura are the most common sites of extrapulmonary tuberculosis. Fight with tuberculosis is continued in tuberculosis and objective diagnostic methods were common methods in diagnosis of extrapulmonary tuberculosis.
- Tıp Fakültesi Koleksiyonu