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https://www.readbyqxmd.com/read/29329967/-prevalence-of-hiv-tuberculosis-co-infection-and-hiv-impact-on-patients-with-tuberculosis-in-the-lubumbashi-health-zone-from-2014%C3%A2-to-2015
#1
E N Wa Ilunga, R K Muya, A A Kaponda, C M A Kaput, S M Kalonji, V B Chiribagula, B N Nshikala, A N N'sasi, J-B L Simbi
BACKGROUND: Tuberculosis and HIV/AIDS are a dangerous couple in sub-Saharan Africa. The aim of this paper is to evaluate the prevalence of the co-infection tuberculosis/HIV/AIDS and its impact on issues of tuberculosis patients treated in Lubumbashi Heath Zone (LHZ). MATERIALS AND METHODS: A retrospective and transversal study was conducted through the analysis of tuberculosis patients' data admitted in the tuberculosis Health Centers for Diagnosis and treatment (HCDT) in the LHZ from January 2014 to December 2015...
January 9, 2018: Revue de Pneumologie Clinique
https://www.readbyqxmd.com/read/29297447/gender-differences-in-tuberculosis-diagnosis-treatment-and-outcomes-in-victoria-australia-2002-2015
#2
K Dale, E Tay, J M Trauer, P Trevan, J Denholm
BACKGROUND: Gender has a significant impact on tuberculosis (TB) diagnosis and outcomes in many settings worldwide. We explored gender differences in Victoria, Australia, a low-incidence setting. METHODS: Retrospective cohort study: 2002-2015. Gender was included as an independent variable in multivariate statistical analyses assessing TB management. RESULTS: There were 2655 (54.5%) males and 2212 (45.5%) females notified (male:female ratio = 1...
December 1, 2017: International Journal of Tuberculosis and Lung Disease
https://www.readbyqxmd.com/read/29278611/utility-of-point-of-care-ultrasound-in-children-with-pulmonary-tuberculosis
#3
Sabine Bélard, Charlotte C Heuvelings, Ebrahim Banderker, Lindy Bateman, Tom Heller, Savvas Andronikou, Lesley Workman, Martin P Grobusch, Heather J Zar
BACKGROUND: Point-of-care ultrasound (POCUS) detects extra-pulmonary tuberculosis (EPTB) in HIV-infected adults but has not been evaluated in children despite their higher risk of EPTB. This study's aims were to investigate feasibility of POCUS for EPTB in children, frequency of POCUS findings suggestive of EPTB, and time to sonographic resolution of findings with treatment. METHODS: This prospective South African cohort study enrolled children with suspected PTB...
December 22, 2017: Pediatric Infectious Disease Journal
https://www.readbyqxmd.com/read/29258581/trend-and-outcome-of-notified-children-with-tuberculosis-during-2011-2015-in-kampala-uganda
#4
Eric Wobudeya, Moorine Sekadde-Kasirye, Derrick Kimuli, Frank Mugabe, Deus Lukoye
BACKGROUND: The road map for childhood tuberculosis launched in 2013 provided strong renewed efforts focused towards zero deaths due to tuberculosis in children. From 2010, there were efforts to improve childhood tuberculosis diagnosis in Kampala and this study aimed to document the trend and outcome of tuberculosis in children over the period. METHODS: This was a retrospective study of tuberculosis data for Kampala city for the period 2011-2015. We extracted data from the unit TB registers in the 52 Diagnostic and treatment units (DTUs) in the Kampala...
December 19, 2017: BMC Public Health
https://www.readbyqxmd.com/read/29250493/determination-of-lipoprotein-z-specific-iga-in-tuberculosis-and-latent-tuberculosis-infection
#5
Jia-Ni Xiao, Yanqing Xiong, Yingying Chen, Yang-Jiong Xiao, Ping Ji, Yong Li, Shu-Jun Wang, Guo-Ping Zhao, Qi-Jian Cheng, Shui-Hua Lu, Ying Wang
Tuberculosis (TB) remains one of the most severe infectious diseases. It is still of paramount importance to establish more accurate, rapid, and efficient diagnostic methods. Since infection with Mycobacterium tuberculosis (M. tb) is largely mediated through the respiratory tract, IgA responses against mycobacterial proteins are worthy of investigation for their potential clinical utility. In this study, the IgA response targeting lipoprotein Z (LppZ) was determined by using a homemade ELISA with plasma of TB patients (N = 125), LTBI individuals (N = 92), healthy controls (HCs) (N = 165), as well as TB patients undergoing anti-TB treatment (N = 9)...
2017: Frontiers in Cellular and Infection Microbiology
https://www.readbyqxmd.com/read/29229499/molecular-diagnosis-of-suspected-tuberculosis-from-archived-smear-slides-from-the-balimo-region-papua-new-guinea
#6
Vanina Guernier, Tanya Diefenbach-Elstob, Daniel Pelowa, Sandra Pollard, Graham Burgess, Emma S McBryde, Jeffrey Warner
BACKGROUND: Tuberculosis (TB) is a serious health problem in Papua New Guinea (PNG) with an estimated 30,000 new cases and 3,800 deaths each year. In the Balimo region of the Western Province, the diagnosis relies on clinical manifestations and on the microscopic detection of acid-fast bacilli in sputum smears, a technique with limited sensitivity. METHODS: We carried out a molecular diagnosis assay targeting DNA extracted from archived sputum smear slides collected from the Balimo region (2012-2014), without the need for a viable culture...
December 8, 2017: International Journal of Infectious Diseases: IJID
https://www.readbyqxmd.com/read/29210987/prophylactic-sublingual-immunization-with-mycobacterium-tuberculosis-subunit-vaccine-incorporating-the-natural-killer-t-cell-agonist-alpha-galactosylceramide-enhances-protective-immunity-to-limit-pulmonary-and-extra-pulmonary-bacterial-burden-in-mice
#7
Arshad Khan, Shailbala Singh, Gloria Galvan, Chinnaswamy Jagannath, K Jagannadha Sastry
Infection by Mycobacterium tuberculosis (Mtb) remains a major global concern and the available Bacillus Calmette-Guerin (BCG) vaccine is poorly efficacious in adults. Therefore, alternative vaccines and delivery strategies focusing on Mtb antigens and appropriate immune stimulating adjuvants are needed to induce protective immunity targeted to the lungs, the primary sites of infections and pathology. We present here evidence in support of mucosal vaccination by the sublingual route in mice using the subunit Mtb antigens Ag85B and ESAT-6 adjuvanted with the glycolipid alpha-galactosylceramide (α-GalCer), a potent natural killer T (NKT) cell agonist...
December 6, 2017: Vaccines
https://www.readbyqxmd.com/read/29209953/diagnostic-value-of-99mtc-ethambutol-scintigraphy-in-tuberculosis-compared-to-microbiological-and-histopathological-tests
#8
A H S Kartamihardja, Y Kurniawati, R Gunawan
OBJECTIVE: Tuberculosis (TB) still remains the world's endemic infection. TB affects the lungs and any part of the body other than the lung. The diagnosis of TB has not changed much over the decades. Ethambutol is one of the first line treatments for TB. It can be labeled using 99mTc. 99mTc-ethambutol will be accumulated in the site of TB lesion and can be imaged using gamma camera. The aim of this study was to evaluate the diagnostic value of 99mTc-ethambutol scintigraphy in detecting and localizing of TB...
December 5, 2017: Annals of Nuclear Medicine
https://www.readbyqxmd.com/read/29204340/evaluation-of-coexistence-of-cancer-and-active-tuberculosis-16-case-series
#9
Beyhan Çakar, Aydın Çiledağ
Introduction: Tuberculosis is an important risk factor for cancer. Pulmonary TB and lung cancer(LC) may mimic each other especially in the aspect of the clinical and radiological features. The aim of the study was to evaluate the features and risk factors of cases with coexistence cancer and active TB. Methodology: We retrospectively reviewed the medical records of patients with coexisting TB and cancer a period from 2009 to 2014. We evaluated demographic data, the ways diagnosis of TB cases, the location of TB and cancer, TB treatment results of the cases...
2018: Respiratory Medicine Case Reports
https://www.readbyqxmd.com/read/29201655/childhood-tuberculosis-in-mauritania-2010-2015-diagnosis-and-outcomes-in-nouakchott-and-the-rest-of-the-country
#10
B Aw, S Ade, S G Hinderaker, N Dlamini, K C Takarinda, K Chiaa, A Feil, A Traoré, T Reid
Setting: The National Tuberculosis Programme, Mauritania. Objective: To compare the diagnosis and treatment outcomes of childhood tuberculosis (TB) cases (aged <15 years) registered between 2010 and 2015 inside and outside Nouakchott, the capital city. Design: This was a retrospective comparative cohort study. Results: A total of 948 children with TB were registered. The registration rate was 10 times higher in Nouakchott. The proportion of children among all TB cases was higher inside than outside Nouakchott (7...
September 21, 2017: Public Health Action
https://www.readbyqxmd.com/read/29179883/shifting-trend-of-tubercular-lymphadenitis-over-a%C3%A2-decade-a-study-from-eastern-region-of-india
#11
Senjuti Dasgupta, Sudipta Chakrabarti, Supriya Sarkar
BACKGROUND: The incidence of tuberculosis (TB) is changing in India. The commonest extra pulmonary manifestation of TB is tuberculous lymphadenitis. AIMS AND OBJECTIVES: To detect changes in occurrence of TB lymphadenitis by comparing current data with that from 10 years back. METHODS: Fine Needle Aspiration Cytology (FNAC) findings of patients presenting with lymphadenopathy between January 2014 and December 2015 were included in the study as current data...
October 2017: Biomedical Journal
https://www.readbyqxmd.com/read/29171450/treatment-outcome-of-tuberculosis-patients-under-directly-observed-treatment-short-course-and-its-determinants-in-shangla-khyber-pakhtunkhwa-pakistan-a-retrospective-study
#12
Tauseef Ahmad, Muhammad Khan, Muhammad Mumtaz Khan, Eyasu Ejeta, Manoochehr Karami, Chinenyenwa Ohia
BACKGROUND: Tuberculosis (TB) is one of the leading causes of morbidity and mortality in Pakistan. Assessment of TB treatment outcomes, monitoring and evaluation of its risk factors in Directly Observed Treatment Short Course (DOTS) are among the major indicators of the performance of a national TB control program. Even though Pakistan ranks 5th among the 22 high-TB burden countries, there are no available data in this regard. METHODS: Institution-based retrospective study was conducted to determine the treatment outcome of TB patients and investigate associated risk factors at District Head Quarter Hospital Shangla, Khyber-Pakhtunkhwa, Pakistan...
October 2017: International Journal of Mycobacteriology
https://www.readbyqxmd.com/read/29165521/-gastrointestinal-tuberculosis-as-a-cause-of-massive-gastrointestinal-bleeding-in-a-patient-with-hiv-infection
#13
Omayra Chincha, Jaime Cáceres, Carlos Seas
Gastrointestinal tuberculosis is a rare and fatal complication in patients with HIV infection. It occurs in 3%-16% of extra pulmonary forms. The main location in 90% of cases is the ileocecal valve and colon. The most unusual presentation of gastrointestinal tuberculosis is massive bleeding with the presence of one or multiple ulcers in the colon. The diagnosis can be confirmed by biopsy and by culture of intestinal tissue. Surgical resection is the treatment of choice. We report a case of a HIV-infected patient, who did not receive antiretrovirals, and who developed disseminated tuberculosis with intestinal perforation, presenting a fatal massive intestinal bleeding...
August 2017: Revista Chilena de Infectología: órgano Oficial de la Sociedad Chilena de Infectología
https://www.readbyqxmd.com/read/29165509/-evaluation-of-xpert%C3%A2-mtb-rif-technique-for-mycobacterium-tuberculosis-complex-detection-in-extra-respiratory-specimens
#14
Patricia García, M Elvira Balcells, Claudia Castillo, Carolina Miranda, Enrique Geoffroy, Juan C Román, Aniela Wozniak
Extra-pulmonary tuberculosis (TB) represents the 26.2% of total TB cases in Chile. Culture is the gold standard method, but the process is extremely slow. Xpert®MTB/RIF technique detects Mycobacterium tuberculosis complex (MTBc) through real time PCR in less than 3 h. However, it has been validated only for respiratory specimens. We aimed to determine the performance of Xpert®MTB/RIF test in detecting MTBc in extra-respiratory specimens compared with a combined gold standard consisting in a positive (liquid and solid) mycobacterial culture and/or a positive validated molecular method (q-RPC, Cobas®TaqMan®-MTB)...
August 2017: Revista Chilena de Infectología: órgano Oficial de la Sociedad Chilena de Infectología
https://www.readbyqxmd.com/read/29154831/detection-of-mycobacterium-tuberculosis-derived-dna-in-circulating-cell-free-dna-from-a-patient-with-disseminated-infection-with-digital-pcr
#15
Masaki Yamamoto, Ryota Ushio, Hiroki Watanabe, Takayoshi Tachibana, Masatsugu Tanaka, Tomoyuki Yokose, Jun Tsukiji, Hideaki Nakajima, Takeshi Kaneko
Mycobacterium tuberculosis (MTB) can disseminate to extra-pulmonary organs, particularly in severely immunosuppressed patients. Confirmation of active MTB infection is often difficult in subjects with contraindication for invasive procedures. We herein report a case of disseminated MTB infection after hematopoietic stem cell transplantation. Circulating cell free DNA of the patient showed positive amplification for a MTB complex specific sequence using digital PCR technique. MTB infection could be confirmed with positive acid fast stain and approved quantitative PCR assay using the liver tissue obtained at an autopsy...
November 14, 2017: International Journal of Infectious Diseases: IJID
https://www.readbyqxmd.com/read/29112181/vitamin-d-supplementation-in-respiratory-diseases-evidence-from-randomized-controlled-trials
#16
Carolien Mathyssen, Ghislaine Gayan-Ramirez, Roger Bouillon, Wim Janssens
Pulmonary diseases are one of the most important causes of morbidity and mortality. Although vitamin D is best known for its role in calcium, phosphorus, and bone homeostasis, it has gained attention in the recent years because of a wide range of extraskeletal effects, including its immunomodulatory and antibacterial potential. Vitamin D deficiency is highly prevalent in chronic pulmonary diseases such as chronic obstructive pulmonary disease (COPD), cystic fibrosis, tuberculosis, and asthma, and several clinical studies have been conducted investigating the effect of vitamin D supplementation on disease outcomes...
November 30, 2017: Polish Archives of Internal Medicine
https://www.readbyqxmd.com/read/29092717/routinely-detected-indicators-in-plasma-have-a-predictive-effect-on-the-identification-of-hiv-infected-patients-with-non-tuberculous-mycobacterial-and-tuberculous-infections
#17
Ren-Tian Cai, Feng-Xue Yu, Zhen Tao, Xue-Qin Qian, Jun Chen, Hong-Zhou Lu
BACKGROUND: It is difficult to quickly distinguish non-tuberculous mycobacterial (NTM) infection from tuberculosis (TB) infection in human immunodeficiency virus (HIV)-infected patients because of many similarities between these diseases. A simple and effective way to determine the differences using routine blood tests is necessary in developing countries. METHODS: A retrospective cohort study was conducted to recruit HIV-infected patients with either NTM infection or TB infection diagnosed for the first time according to mycobacterial culture and microscopic identification from May 2010 to March 2016...
November 2, 2017: Infectious Diseases of Poverty
https://www.readbyqxmd.com/read/29091139/glutaraldehyde-test-for-the-rapid-diagnosis-of-pulmonary-and-extra-pulmonary-tuberculosis-in-an-area-with-high-tuberculosis-incidence
#18
Ben Hadj Hassine Ahmed, Marzouk Manel, Dhaou Mohamed, Boukadida Jalel
BACKGROUND: Tuberculosis (TB) remains one of the leading causes of morbidity and mortality worldwide. The primary method for controlling TB is the rapid and accurate identification of infected individuals. Immune response exploitation represents one of the main methods used for early TB diagnosis; however, few studies have reported that whole blood originating from TB-infected patients gels faster in the presence of aldehyde than blood originating from healthy subjects, which is the focus of the current study...
November 2017: Memórias do Instituto Oswaldo Cruz
https://www.readbyqxmd.com/read/29070061/effectiveness-of-real-time-polymerase-chain-reaction-assay-for-the-detection-of-mycobacterium-tuberculosis-in-pathological-samples-a-systematic-review-and-meta-analysis
#19
Emmanuel O Babafemi, Benny P Cherian, Lee Banting, Graham A Mills, Kandala Ngianga
BACKGROUND: Rapid and accurate diagnosis of tuberculosis (TB) is key to manage the disease and to control and prevent its transmission. Many established diagnostic methods suffer from low sensitivity or delay of timely results and are inadequate for rapid detection of Mycobacterium tuberculosis (MTB) in pulmonary and extra-pulmonary clinical samples. This study examined whether a real-time polymerase chain reaction (RT-PCR) assay, with a turn-a-round time of 2 h, would prove effective for routine detection of MTB by clinical microbiology laboratories...
October 25, 2017: Systematic Reviews
https://www.readbyqxmd.com/read/29033441/bilateral-tuberculous-pleurisy-with-subsequent-upper-lobe-predominant-pulmonary-fibrosis-mimicking-pleuroparenchymal-fibroelastosis
#20
Takako Kawaguchi, Keishi Oda, Takashi Kido, Toshinori Kawanami, Yoshinori Kawabata, Kazuhiro Yatera
Although the majority of patients with Mycobacterium tuberculosis have pulmonary involvement, some cases have pleural involvement as extra-pulmonary sites of infection. We herein report a case of upper lobe-predominant pulmonary fibrosis that developed in a 47-year-old male with a history of bilateral tuberculous pleurisy. Based on his chest radiological findings, pleuroparenchymal fibroelastosis (PPFE) was most strongly suspected, and a surgical lung biopsy (SLB) was performed to obtain a pathological diagnosis...
October 16, 2017: Internal Medicine
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