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© 2019. This work is published under https://creativecommons.org/licenses/by-nc/4.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.

Abstract

Objective:

Tuberculosis (TB) is an infection that can involve all tissues and organs. Although pulmonary TB (PTB) is more common, extrapulmonary TB (EPTB) is still a major clinical problem. The incidence of EPTB is 35.1% and in recent years; there has been an increase in EPTB case reporting in our country. In this study, we retrospectively investigated the clinical and laboratory characteristics of rare EPTB cases.

Methods:

The study included rare EPTB patients diagnosed and/or followed up in our clinic. Cases with pleural TB and lymph node TB were excluded from the study. The diagnosis of EPTB was made by clinical, microbiological and/or histopathological and/or radiological findings and response to treatment. The demographic features, clinical findings and laboratory values were recorded from patient files, and were evaluated in terms of EPTB.

Results:

Fifty patients were included in the study (mean age=34±15.8 years, female/male=33/17). The most frequently involved organ was peritoneum (n=13, 26%). There was multi-organ involvement in 4 cases (8%). Co-existence of EPTB with PTB was determined in 9 cases (18%). Four patients had a history of TB and 14 had a history of contact with TB. All the cases were human immunodeficiency virus-negative, and one case was hepatitis B surface antigen positive. The major complaints were abdominal pain, weight loss, night sweats, fever, and cough. Twenty-three patients had normal chest radiographs and the mean duration of treatment was 9 months.

Conclusion:

TB is a serious public health problem in Turkey as well as all over the world. Since it is a treatable disease, early diagnosis and treatment have utmost importance for avoiding the serious complications of rare EPTB forms.

Details

Title
Rare Extrapulmonary Tuberculosis in Immunocompetent Adults: Experience of a Tertiary Hospital
Author
Güngör, Sinem  VIAFID ORCID Logo  ; Soğukpınar, Özlem  VIAFID ORCID Logo  ; Yalçınsoy, Murat  VIAFID ORCID Logo  ; Bilgen Begüm Afşar Dönmez  VIAFID ORCID Logo  ; Akkan, Olga  VIAFID ORCID Logo  ; Öngel, Esra Akkütük  VIAFID ORCID Logo  ; Esra Usta Bülbül  VIAFID ORCID Logo  ; Akkaya, Esen  VIAFID ORCID Logo 
Pages
115-119
Section
Original Article
Publication year
2019
Publication date
Sep 2019
Publisher
Galenos Publishing House
ISSN
26513153
Source type
Scholarly Journal
Language of publication
English
ProQuest document ID
2374441304
Copyright
© 2019. This work is published under https://creativecommons.org/licenses/by-nc/4.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.