Ten Years of Extrapulmonary Tuberculosis in a Danish University Clinic

Ebdrup, Lotte; Storgaard, Merete; Jensen-Fangel, Søren; Obel, Niels

doi:10.1080/00365540310000274

Cited by 20 publications

(16 citation statements)

References 8 publications

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“…In Western countries, these are the preferred systems for TB culture; however, in India, most centers prefer the traditional culture medium. Culture yield in this study using the BACTEC 460TB are comparable to studies in small samples of patients with abdominal tuberculosis in the developed countries [6][7][8]. The yield with the LJ medium is comparable to the previously reported studies from India [1,9].…”

Section: Discussionsupporting

confidence: 88%

Comparison of Mycobacterium tuberculosis culture using liquid culture medium and Lowenstein Jensen medium in abdominal tuberculosis

Shah

Shenai

Desai

et al. 2010

Indian J Gastroenterol

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Section: Discussionsupporting

confidence: 88%

Comparison of Mycobacterium tuberculosis culture using liquid culture medium and Lowenstein Jensen medium in abdominal tuberculosis

Shah

Shenai

Desai

et al. 2010

Indian J Gastroenterol

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“…21 Moreover, patients of foreign origins had most EPTB cases, and approximately two-thirds of all patients with EPTB were immigrants, approximately half from Somalia. 20,22 In addition, similar to the situation in Denmark, the incidence of TB in Greenland had doubled from 1990 to 1997. 23 This study was conducted to assess age, sex, and origin specific risk and categories of EPTB (involving a specific anatomic site) in a large cohort of TB patients that are believed to be diagnosed by using the same diagnostic standards.…”

Section: Introductionmentioning

confidence: 82%

Effect of Sex, Age, and Race on the Clinical Presentation of Tuberculosis: A 15-Year Population-Based Study

Zhang¹,

Andersen²,

Lillebæk³

et al. 2011

The American Society of Tropical Medicine and Hygiene

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Abstract. Extrapulmonary tuberculosis (EPTB) is an important health problem that may cause serious morbidity and diagnostic challenges. We conducted a case-control study involving 5,684, approximately 99% of bacteriologically confirmed TB patients (including 1,925 EPTB cases) diagnosed in Denmark and Greenland during 1992-2007 to gain insight to the role of host factors in EPTB pathogenesis. Among patients from Somalia and Asia, persons 25-44 and 45-64 years of age were more likely to have EPTB than persons 15-24 years of age. In contrast, among persons from Greenland, the two oldest age groups were significantly less likely to have EPTB than the youngest age group. For all the age groups, the odds for having EPTB was significantly higher among patients from Somalia and Asia and significantly lower among the patients from Greenland than among patients from Denmark. Furthermore, the occurrence of specific types of EPTB significantly varied among different age groups or origins. International Reference Laboratory of Mycobacteriology is the only laboratory in Denmark that performs mycobacterial culturing confirming TB diagnosis to assist in the national TB surveillance system. For the present study, a database without identifiers of the study subjects was used. This study was reviewed and approved by the health sciences institutional review board of the University of Michigan, the Danish National Ethical Committee, and the Danish Data Protection Agency.Study design and case definitions. This study is a casecontrol study aiming at characterizing TB patients with different anatomic site involvement and identifying risk factors for having EPTB. On the basis of the origin of the specimens and clinical manifestations, the study patients were diagnosed as having pulmonary TB, extrapulmonary TB, or both. For this study, patients with TB exclusively in their lungs were classified as pulmonary TB (designated PTB). Patients with EPTB were categorized into two subgroups (EPTB alone and EPTB plus PTB) on the basis of whether they had TB exclusively at extrapulmonary tissue or organs or in pulmonary and extrapulmonary sites. These three groups were generated to compare the distribution of demographic characteristics between the PTB group and the EPTB alone group, and between the PTB group and the EPTB plus PTB group. In addition, patients with EPTB were grouped into seven categories, according to the classification of EPTB by the American Thoracic Society and the Centers for Disease Control and Prevention.11 These seven categories (also called forms) include bone or/and joint TB, pleural TB, genitourinary TB, peritoneal TB, meningeal TB, lymphatic TB, and other. The distributions of the seven categories were compared between sexes, among different age groups, and between persons of different origins, respectively. Because of national legislation, we did not have access to HIV status of individual patients, but because TB is an acquired immunodeficiency syndrome disease (AIDS)-defining disease, we knew the annual number of HIV-...

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“…Many studies of extrapulmonary tuberculosis [6,7,9,14,16 Á20] have shown a female preponderance, although in some studies the sex distribution has been more even [5,12,13,15,21]. In our study 44 of the 63 patients were female and 19 male.…”

Section: Discussionmentioning

confidence: 45%

“…The most common form of tuberculosis is pulmonary tuberculosis, which accounted for 67.7% of all patients with tuberculosis in Finland in 2004 [2]. Tuberculous lymphadenitis has been reported as the most common form of extrapulmonary tuberculosis in many studies [3], although in some studies other locations have been found to be more common [4,5]. Lymphadenitis is also the most common form of tuberculosis in the head and neck Á other locations are rare [6,7].…”

Section: Introductionmentioning

confidence: 98%

Tuberculosis of the head and neck in Finland

Nohrstrom

Kentala

Kuusela

et al. 2007

Acta Oto-Laryngologica

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During 1996-2005, 63 patients were diagnosed with head and neck tuberculosis, the average incidence being 0.6/100,000 per year. The age of the patients varied between 3 and 94 years (mean 47 years). The mean age of patients who were of Finnish extraction (37 patients) was 62 years and that of immigrants (26 patients) was 27 years. Forty-four (70%) patients were female and 19 (30%) male. The majority of patients presented with a neck mass without symptoms of general infection such as fever or fatigue.

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Ten Years of Extrapulmonary Tuberculosis in a Danish University Clinic

Cited by 20 publications

References 8 publications

Comparison of Mycobacterium tuberculosis culture using liquid culture medium and Lowenstein Jensen medium in abdominal tuberculosis

Comparison of Mycobacterium tuberculosis culture using liquid culture medium and Lowenstein Jensen medium in abdominal tuberculosis

Effect of Sex, Age, and Race on the Clinical Presentation of Tuberculosis: A 15-Year Population-Based Study

Tuberculosis of the head and neck in Finland

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