Tuberculous lymphadenitis in Baghdad city: A review of 188 cases
| Autor: | Mustafa Usama Abdulmageed, Ali Adil Abdullah, Hasanain Abdulameer Jasim |
|---|---|
| Rok vydání: | 2019 |
| Předmět: |
Pediatrics
medicine.medical_specialty education.field_of_study Tuberculosis business.industry Incidence (epidemiology) Population Retrospective cohort study medicine.disease Tuberculous lymphadenitis 03 medical and health sciences 0302 clinical medicine 030220 oncology & carcinogenesis medicine Etiology 030211 gastroenterology & hepatology Surgery Body region Differential diagnosis education business |
| Zdroj: | International Journal of Surgery Open. 16:40-47 |
| ISSN: | 2405-8572 |
| DOI: | 10.1016/j.ijso.2018.12.001 |
| Popis: | Background Tuberculosis is still a major health problem in the world. Iraq regarded as an endemic country with incidence of 43 tuberculosis cases in 100,000 of the population. Tuberculous lymphadenopathy considered the most common extrapulmonary manifestation of tuberculosis. With cervical lymph node groups most commonly affected. It may confuse by serious aetiology necessitating sophisticated investigations like tissue biopsy to reach a diagnosis. The Surgical role is well established in the diagnosis of tuberculous lymphadenopathy, but still not clear whether surgery plays role in treatment along with antituberculous drugs or not. Aims to define the incidence, presentation, investigations, outcome, and the role of surgery in the diagnosis and treatment of tuberculous lymphadenopathy. Patients and method A retrospective study performed in the National specialized Centre for Respiratory and Chest Diseases in Iraq-Baghdad, from January until December 2016. One hundred and eighty-eight patients included in the study. The following information were collected from the patient's records: demographic and clinical data; the final diagnostic test; the treatment regimens; the outcome of the antituberculous therapy and the type of surgical procedures used in diagnosis and treatment of the patients. Result The diagnosis of Tuberculous lymphadenitis achieved mainly by the clinical with support from results of histopathology after biopsy (74.47%) or FNAC (11.17%). Tuberculous lymphadenitis was seen in 12.34% of all notified TB cases and in 31.87% of extra-pulmonary tuberculosis cases in Iraq 188 patients included in the study, 135 (71.8%) female 53 (28.2%) male patients the mean age was 32.1 ± 18.8 year and cervical region involved in (65.43%). Conclusion In Iraqi patients, Tuberculous lymphadenopathy is the most common form of extra-pulmonary tuberculosis, with cervical involvement representing the most common site of involvement. Tuberculous lymphadenopathy is a common disease, especially in the endemic area and should put in the differential diagnosis in the aetiology of LAD in different body regions. Its effect female more than male at age of thirty. Diagnosis mainly achieved by the different tissue sampling technique. Surgery role well-established in the diagnosis and treatment of complications, assisting in rapid relief of mass symptoms, but the role in the treatment of TLN with chemotherapy not yet well-known. |
| Databáze: | OpenAIRE |
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