Clinical Profile of Tubercular Lymphadenitis Amongst Indian population and It’s Response to Anti-Tubercular Therapy- A Retrospective Observational Study
Journal Title: International Journal of Research in Health Sciences - Year 2017, Vol 5, Issue 3
Abstract
Introduction: India constitutes around one fifth of tuberculosis burden globally. Tuberculosis of lymph node constitutes 20-40% of extrapulmonary tuberculosis. It is difficult to determine end point of antituberculsis treatment as response is to be monitored clinically. We conducted study to monitor the response to Antitubercular Therapy (ATT) in patients with tubercular cervical lymphadenitis in our tertiary care centre. Methods: Retrospective observational study of records of 117 diagnosed cases of tubercular cervical lymphadenitis registered under DOTS at our tertiary care centre during 1st Aug 2014 to 31 Jan 2015 was done. Diagnosis was confirmed using fine needle aspiration cytology of lymph node. Results: Maximum patients were in the age group of 15-30 year (49.5%). 59% were Females & 41% were males. 32% of had associated dry cough, 11% had fever, weight loss in 13%, cough with expectoration in 4.27%. Extension of treatment was required in 64.50 % patients, while 35.50 %were cured with six months of DOTS therapy. Conclusion: We conclude that patient with TB lymphadenitis usually requires more than 6 months of treatment. HIV positivity & female gender were found to be statistically significant for extension of therapy (P=0.05 & P=0.001 respectively). Associated respiratory symptoms & LN AFB positivity were NOT found to be statistically significant for extension of therapy (P=0.58 & P=0.44 respectively).
Authors and Affiliations
Munje Radha P
Keywords
Related Articles
- EP ID EP304863
- DOI -
- Views 109
- Downloads 0
Splenic Hydatidosis with Abdominal Pain - A Rare Presentation
Primary extrahepatic hydatid cysts are rare, and primary splenic hydatid cysts even rarer. Splenic hydatidosis constitutes 2% to 3.5% of all hydatid cysts. We report here a case of isolated splenic hydatid cysts in a 23...
Cholecystectomy for intrahepatic gall bladder with incidental subhepatic appendix: a challenge for the surgeon
Intrahepatic gall bladder (GB) is one of the ectopic locations of GB and this anomaly makes cholescystectomy hazardous. Sub Hepatic appendix, also an unusual location of appendix, presents with the complications of absce...
Evaluation of Bode Index in prognosis and follow up of COPD patients
Background: Chronic obstructive pulmonary disease (COPD) is characterized by an incompletely reversible limitation in airflow. The BODE index was devised to better reflect the multisystem effects of chronic obstructive p...
Evaluation of polymerase chain reaction for direct detection of streptococcus pneumoniae in clinical samples & antimicrobial susceptibilities of the isolates
Introduction: Streptococcus pneumoniae (S.pneumoniae) is an important cause of morbidity and mortality in people of extreme age. Drug resistant pneumococci are emerging and causing treatment failure. In the present study...
Corticosteroid induced diabetes in systemic lupus erythematosus patients
Introduction: Corticosteroid induced diabetes mellitus (DM) is a well-recognized complication in SLE patients receiving corticosteroids with a prevalence of 12.6% to 25.9%. Methods: Cross-sectional study involving SLE pa...