EXTRAPULMONARY TUBERCULOSIS - MORE QUESTIONS THAN ANSWERS
https://doi.org/10.21292/2075-1230-2017-95-2-59-63
Abstract
Despite the positive trends in the tuberculosis epidemic situation in general, changes in the extrapulmonary tuberculosis incidence are still unstable.
Materials and methods. The incidence structure of certain forms of tuberculosis has been analyzed depending on the concurrent HIV infection including analysis of the incidence structure of extrapulmonary tuberculosis with concurrent tuberculosis of other localizations as per the data of Novosibirsk Regional TB Dispensary for 2015.
Results. 95 patients were diagnosed with isolated extrapulmonary tuberculosis. In general the equal numbers of bone and joint tuberculosis and central nervous system tuberculosis were registered – 31.6% of each. However those suffering from central nervous system tuberculosis without compromised immunity made only 4.1%, while among the HIV infected this rate made 60.9%; those suffering from bone and joint tuberculosis prevailed more than twice among the HIV negative. Tuberculosis of peripheral lymph nodes was diagnosed in 14.7%, urogenital tuberculosis all together – in 13.9%. Significant differences in extrapulmonary tuberculosis classification between World Health Organisation and RF have been found out. Concurrent forms of tuberculosis were detected in 97 patients, of them 57.7% were HIV positive. Tuberculosis of respiratory organs and central nervous system, tuberculosis of respiratory organs and bones and joints prevailed among concurrent forms.
Conclusion: It is necessary to review the structure of reports on extrapulmonary tuberculosis in order to provide true statistic data.
About the Authors
E. V. Kulchavenya
Novosibirsk Tuberculosis Research Institute;
Novosibirsk State Medical University
Russian Federation
Russian Federation
Doctor of Medical Sciences, Professor, Head Researcher,
81a, Okhotskaya St., Novosibirsk, 630040
I. I. Zhukova
Novosibirsk Regional TB Dispensary
Russian Federation
Russian Federation
Candidate of Medical Sciences, Head of Extrapulmonary Tuberculosis Department,
9/1, Aleksandra Nevskogo St., Novosibirsk, 630075
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For citations:
Kulchavenya E.V., Zhukova I.I. EXTRAPULMONARY TUBERCULOSIS - MORE QUESTIONS THAN ANSWERS. Tuberculosis and Lung Diseases. 2017;95(2):59-63. (In Russ.) https://doi.org/10.21292/2075-1230-2017-95-2-59-63
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