| Autor: |
Adnan Raina, Manzoor Raina, Ab. Hameed Raina, Khalid Hamid Changal, Rehana Bashir, Sheikh Shoaib Altaf |
| Rok vydání: |
2016 |
| Předmět: |
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| Zdroj: |
10.2 Tuberculosis. |
| DOI: |
10.1183/13993003.congress-2016.pa2770 |
| Popis: |
Introduction: The two chief causes of infected exudative pleural effusions in developing world are tubercular effusion (TBE) and para pneumonic effusions (PPE) due to other bacteria. A lot has been known about each of them separately but very few studies have been done which exclusively compare the two. We try to find out how the two compare using modern diagnostic methods and to see what characters define a TBE. Materials and methods: 100 cases of TBE were compared with 51 cases of PPE. The two groups were compared for clinical, radiological, microbiological and biochemical features. Special emphasis was given on pleural fluid characteristics. TB cultures were done using liquid media. Results: The clinical symptoms with the greatest use in distinguishing the two conditions were weight loss (59% in TBE vs. 0% in PPE, p Conclusion: TBE and PPE can be reliably distinguished by clinical features, cultures, PCR and ADA. ADA is playing an important role in diagnosis of TBE in developing world. Liquid cultures have greatly enhanced the diagnostic value of pleural fluid culture in TBE. |
| Databáze: |
OpenAIRE |
| Externí odkaz: |
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