Clinico-Epidemiological Profile of Extra Pulmonary Tuberculosis in Western India
Journal Title: International Journal of Contemporary Medical Research - Year 2018, Vol 5, Issue 2
Abstract
Introduction: Tuberculosis (TB) remains a major global health problem and India being highest tuberculosis burden country, needs concern. The percentage of patients with extrapulmonay tuberculosis(EPTB) in tertiary care centres of India ranged from 30-55%. The primary objective of this study was to know the proportion of PTB to EPTB, classify EPTB patients in relation to different anatomic sites of involvement and to correlate them in relation to epidemiological factors like age, sex and also to study their correlation with HIV and diabetes mellitus, the most important risk factor influencing EPTB in the tertiary care centre obtained from RNTCP records of Goa State Material and methods: This was a retrospective, record based study of patients of EPTB at Goa Medical College and hospital, Goa from 1st Jan 2013 to 31 Dec 2015 Results: Among the 1598 cases registered for treatment of tuberculosis during this period, 492(30.9%) had EPTB and 1106(69.1%) had PTB The ratio of EPTB:PTB is 1:2.2, commonest type of EPTB was TB in pleural cavity (39.43%), followed by lymph node and lymphatics (27.6%) The prevalence of EPTB cases was higher among males as compared to females. Among different age groups studied the age group of 30-50years had the highest proportion of EPTB both in males and females. 46(9.34%) of the cases of EPTB were immunocompromised with HIV and 47(9.55%) had diabetes mellitus Conclusion: The proportion of EPTB cases in this study was higher 30.9% with highest proportion formed by TB of plueral cavity 39.43% The burden of EPTB is more among the productive age group mostly in young male adults, which is the economically productive population of the society. Having associated immunocompromised status with HIV and DM was significant risk factors for EPTB patients
Authors and Affiliations
Anita Velingker, Durga Lawande, Lamartine Dcosta
Keywords
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