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extrapulmonary tuberculosis

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https://www.readbyqxmd.com/read/27913043/evaluation-of-the-genexpert-mtb-rif-assay-on-extrapulmonary-and-respiratory-samples-other-than%C3%A2-sputum-a-low-burden-country-experience
#1
Sushil Pandey, Jacob Congdon, Bradley McInnes, Alina Pop, Christopher Coulter
The aim of this study was to assess the performance of the GeneXpert MTB/RIF assay on extrapulmonary (EP) and respiratory (non-sputum) clinical samples of patients suspected of having tuberculosis (TB) from Queensland, Australia. A total of 269 EP and respiratory (non-sputum) clinical samples collected from Qld patients who were suspected of having TB were subjected to the GeneXpert MTB/RIF analysis, Ziehl-Neelsen (ZN) staining, Mycobacterium tuberculosis (MTB) culture and drug susceptibility testing. Phenotypic and genotypic data were compared...
November 29, 2016: Pathology
https://www.readbyqxmd.com/read/27891012/pleural-nodules-a-rare-presentation-of-extrapulmonary-tuberculosis
#2
Urvinderpal Singh, Vinay Mohan, Navdeep Singh, Daksh Jhim, Muralidharan Ramaraj, Areekkara Poduvattil Prasanth, Hitesh Gour, Shailly
No abstract text is available yet for this article.
November 2016: Lung India: Official Organ of Indian Chest Society
https://www.readbyqxmd.com/read/27879161/neopterin-and-oxidative-stress-markers-in-the-diagnosis-of-extrapulmonary-tuberculosis
#3
Nisha Goyal, Bineeta Kashyap, N P Singh, Iqbal R Kaur
BACKGROUND: Extrapulmonary tuberculosis (EPTB) often presents with non-specific signs and symptoms. Further the paucibacillary nature of extrapulmonary specimens and irregular distribution of bacilli lower the sensitivity of conventional diagnostic methods making EPTB, a diagnostic dilemma. Objective To study neopterin, protein carbonyl and malondialdehyde in extrapulmonary tuberculosis. METHODS: 69 clinically confirmed cases with an equal number of age and sex matched healthy controls were enrolled...
November 23, 2016: Biomarkers: Biochemical Indicators of Exposure, Response, and Susceptibility to Chemicals
https://www.readbyqxmd.com/read/27876877/evaluation-of-the-efficacy-of-myco-f-lytic-system-mgit960-system-and-lowenstein-jensen-medium-for-recovery-of-mycobacterium-tuberculosis-from-sterile-body-fluids
#4
Guirong Wang, Xinting Yang, Junping Zhu, Weijie Dong, Mailing Huang, Guanglu Jiang, Liping Zhao, Sibing Qin, Xiaoyou Chen, Hairong Huang
The diagnosis of extrapulmonary tuberculosis (EPTB) is challenging due to non-specific symptoms, invasive approach for specimen collection and most importantly, the paucibacillary status. The objective of this assay was to evaluate the efficacy of Myco/F lytic system, BACTEC Mycobacteria Growth Indicator Tube (MGIT) 960 system and Lowenstein-Jensen (L-J) medium for recovery of bacilli from sterile body fluids. 214 specimens (114 pleural fluid and 100 pus) from clinically diagnosed EPTB patients were collected and subjected to Ziehl-Neelsen (ZN) smear microscopy, L-J culture, MGIT 960 culture and Myco/F lytic culture...
November 23, 2016: Scientific Reports
https://www.readbyqxmd.com/read/27865246/renal-tuberculosis-presenting-as-acute-pyelonephritis-a-rarity
#5
Ajay Kumar Verma, Ashwini Kumar Mishra, Manoj Kumar, Surya Kant, Anubhuti Singh, Ajay Singh
One of the major health problems faced particularly by the developing world since ages is that of tuberculosis (TB). Genito-urinary tuberculosis (GUTB) is the second most common extrapulmonary TB, with kidney being the most frequent site of infection. Due to the diverse and atypical clinical manifestations of urinary TB, the disease is easy to misdiagnose. The diagnosis of renal TB should be suspected in a nonspecific bacterial cystitis associated with a therapeutic failure or a sterile pyuria and a past history of pulmonary TB with important radiologic findings, particularly with the help of CT scan...
July 2016: Indian Journal of Tuberculosis
https://www.readbyqxmd.com/read/27865236/pcr-targeting-is6110-in-diagnosing-tuberculosis-in-children-in-comparison-to-mgit-culture
#6
Rajeshwar Dayal, Dipti Agarwal, Harish Pathak, Shehraj Feroz, Manoj Kumar, Devendra S Chauhan, Rakesh Bhatia
BACKGROUND: Diagnosis of tuberculosis (TB) in children is difficult in children especially in extrapulmonary tuberculosis (EPTB). This study was conducted to evaluate the use of polymerase chain reaction (PCR) targeting IS6110 in the diagnosis of TB in children with pulmonary TB and EPTB and also to compare its performance with MGIT 960 culture and conventional microscopy. METHODS: A total of 142 cases (50 pulmonary, 92 extrapulmonary) of suspected TB patients <15 years of age were included in the study...
July 2016: Indian Journal of Tuberculosis
https://www.readbyqxmd.com/read/27853698/primary-tuberculosis-of-hand-soft-tissue
#7
Mohd Altaf Mir, Imran Ahmad, Mihd Yaseen
The musculoskeletal extrapulmonary tuberculosis is uncommon, the upper extremity tuberculosis is not common and the mycobacterial involvement of skin of hands and synovial sheath of tendons is rare. This prospective observational study was undertaken between August 2014 and December 2015 in a tertiary referral hospital. Patients attending with suspected primary tuberculosis of soft tissue of the hand were included. Anteroposterior and lateral radiographs of the hand, wrist and lung and MRI were undertaken. A diagnosis of tuberculosis was made based on histology, and positive culture for Mycobacterium...
September 2016: World Journal of Plastic Surgery
https://www.readbyqxmd.com/read/27847020/the-pattern-of-tuberculosis-in-aswan-chest-hospital-egypt
#8
Eman Sobh, Sayed Abd Elsabour Kinawy, Yasser Mohamad Ahmad Abdelkarim, Mahmoud Ahmed Arafa
OBJECTIVE/BACKGROUND: Tuberculosis (TB) is a major health problem. The aim of this study was to examine the pattern of TB in Aswan Chest Hospital, Aswan, Egypt. METHODS: This cross-sectional study was carried out using medical records from the TB registry in Aswan Chest Hospital. The investigated variables included demographic characteristics, type of TB infection, and affected organs. All data were coded and statistically analyzed. RESULTS: The average age of the 557 patients infected with TB was 40...
September 2016: International Journal of Mycobacteriology
https://www.readbyqxmd.com/read/27847012/prevalence-and-species-spectrum-of-both-pulmonary-and-extrapulmonary-nontuberculous-mycobacteria-isolates-at-a-tertiary-care-center
#9
Jyoti Umrao, Dharamveer Singh, Amreen Zia, Swati Saxena, Surendra Sarsaiya, Shushma Singh, Jahanarah Khatoon, Tapan N Dhole
OBJECTIVE/BACKGROUND: Nontuberculous mycobacteria (NTM) infection associated with pulmonary and extrapulmonary disease has been increasing globally. Despite an increase in incidence rate of NTM infection, its prevalence, species diversity, and circulation pattern in India is largely unknown. This study sought to investigate the overall burden and diversity of NTM among both pulmonary and extrapulmonary clinical isolates from a Northern Indian population. METHODS: The study was conducted in the Department of Microbiology, from January 2013 to December 2015...
September 2016: International Journal of Mycobacteriology
https://www.readbyqxmd.com/read/27843013/-tuberculosis-among-chronic-hemodialysis-patients-in-togo-report-of-10%C3%A2-cases
#10
Mawufemo Yawovi Tsevi, Akomola Kossi Sabi, Laté Mawuli Lawson-Ananissoh, Befa Noto-Kadou-Kaza, Eyram Yoan Amekoudi
GOALS: To determine the frequency of tuberculosis among hemodialysis patients in Togo, specify its different localizations and identify its diagnostic and therapeutic difficulties. PATIENTS AND METHODS: This was a retrospective study over a period of 5 years (2010-2015). It includes the records of periodic hemodialysis patients in the Nephrology Department of the Sylvanus-Olympio University Teaching Hospital in Lomé. The diagnosis of tuberculosis was selected on the basis of clinical and laboratory data...
November 11, 2016: Néphrologie & Thérapeutique
https://www.readbyqxmd.com/read/27830524/association-of-hiv-infection-with-extrapulmonary-tuberculosis-a-systematic-review
#11
REVIEW
Rupak Shivakoti, Davina Sharma, Gabeena Mamoon, Kiemanh Pham
PURPOSE: HIV/AIDS is a known risk factor for the development of pulmonary tuberculosis (PTB). However, the association is less clear between HIV and extrapulmonary tuberculosis (EPTB). We conducted a systematic review to determine the association between HIV and EPTB. METHODS: We searched the electronic databases Medline, Embase, and relevant conference literature using defined search terms for EPTB and HIV. Only publications in English and only studies reporting adjusted estimates were included, while our search criteria did not include restriction by age or geographic location of study participants...
November 9, 2016: Infection
https://www.readbyqxmd.com/read/27829072/autopsy-prevalence-of-tuberculosis-and-other-potentially-treatable-infections-among-adults-with-advanced-hiv-enrolled-in-out-patient-care-in-south-africa
#12
Aaron S Karat, Tanvier Omar, Anne von Gottberg, Mpho Tlali, Violet N Chihota, Gavin J Churchyard, Katherine L Fielding, Suzanne Johnson, Neil A Martinson, Kerrigan McCarthy, Nicole Wolter, Emily B Wong, Salome Charalambous, Alison D Grant
BACKGROUND: Early mortality among HIV-positive adults starting antiretroviral therapy (ART) remains high in resource-limited settings, with tuberculosis (TB) the leading cause of death. However, current methods to estimate TB-related deaths are inadequate and most autopsy studies do not adequately represent those attending primary health clinics (PHCs). This study aimed to determine the autopsy prevalence of TB and other infections in adults enrolled at South African PHCs in the context of a pragmatic trial of empiric TB treatment ("TB Fast Track")...
2016: PloS One
https://www.readbyqxmd.com/read/27825312/human-tuberculosis-caused-by-mycobacterium-bovis-a-retrospective-comparison-with-mycobacterium-tuberculosis-in-a-mexican-tertiary-care-centre-2000-2015
#13
Pedro Torres-Gonzalez, Miguel E Cervera-Hernandez, Areli Martinez-Gamboa, Lourdes Garcia-Garcia, Luis P Cruz-Hervert, Miriam Bobadilla-Del Valle, Alfredo Ponce-de Leon, Jose Sifuentes-Osornio
BACKGROUND: Human tuberculosis caused by Mycobacterium bovis is believed to be frequent in developing countries. Transmission is usually through ingestion of unpasteurized dairy products, although airborne contagion is possible. Disease caused by M. tuberculosis or M. bovis is clinically indistinguishable from each other. The aim of this study was to determine the factors associated with M. bovis disease. METHODS: Retrospective analysis of all culture-positive cases of M...
November 8, 2016: BMC Infectious Diseases
https://www.readbyqxmd.com/read/27824436/tuberculosis-in-poland-in-2014
#14
Maria Korzeniewska-Koseła
AIM OF THE STUDY: To evaluate the main features of TB epidemiology in 2014 in Poland and to compare with the data on the same phenomena in EU/EEA countries. METHODS: Analysis of case- based data on TB patients from National TB Register, data on anti-TB drugsusceptibility testing results in cases notified in 2014, data from National Institute of Public Health- NationalInstitute of Hygiene on cases of tuberculosis as AIDS-defining disease, data from Central Statistical Office ondeaths from tuberculosis based on death certificates, data from ECDC report „ European Centre for DiseasePrevention and Control/WHO Regional Office for Europe...
2016: Przegla̧d Epidemiologiczny
https://www.readbyqxmd.com/read/27812086/tuberculosis-disease-during-pregnancy-and-treatment-outcomes-in-hiv-infected-and-uninfected-women-at-a-referral-hospital-in-cape-town
#15
Adrie Bekker, Hendrik S Schaaf, Heather R Draper, Magdalena Kriel, Anneke C Hesseling
BACKGROUND: Tuberculosis during pregnancy and treatment outcomes are poorly defined in high prevalence tuberculosis and HIV settings. METHODS: A prospective cohort study of pregnant and postpartum women identified to be routinely on antituberculosis treatment was conducted at Tygerberg Hospital, Cape Town, South Africa, from January 2011 through December 2011. Maternal tuberculosis disease spectrum and tuberculosis-exposed newborns were characterized by maternal HIV status...
2016: PloS One
https://www.readbyqxmd.com/read/27807019/abdominal-tuberculosis-an-old-disease-surprising-young-doctors
#16
Marta David Sousa, Joana Batista, Patricia Pacheco, Vitor Nunes
Tuberculosis remains a worldwide public health concern. Atypical extrapulmonary presentations may delay the diagnosis and treatment. We present the case of an adult woman admitted to the emergency department with bowel obstruction. The putative intraoperative diagnostic hypothesis was ovarian cancer with peritoneal dissemination. Histopathological analysis showed a chronic granulomatous inflammatory disease with acid-fast bacilli. The patient was started on an alternative parenteral antituberculosis drug combination until oral feeding was available...
November 2, 2016: BMJ Case Reports
https://www.readbyqxmd.com/read/27803421/tuberculous-fasciitis-in-polymyositis-a-rare-case-of-extrapulmonary-tuberculosis
#17
Ikue Nagayama, Katsuyuki Nagatoya, Yu Kurahara, Akira Mega, Masashi Morita, Ryota Haga, Yu Yamanouchi, Yoshito Yamaguchi, Tatsufumi Oka, Atsushi Yamauchi
A 71-year-old woman with polymyositis presenting with left thigh pain and an intermittent fever was admitted to Osaka Rosai Hospital. We initially diagnosed that her pain and fever were caused by a soft tissue infection because her polymyositis was controlled. She did not respond to various antibiotic therapies. Chest computed tomography demonstrated miliary tuberculosis (TB). Ziehl-Neelsen staining of liver biopsy specimens revealed epithelioid cell granuloma and acid-fast bacilli. Therefore, we finally diagnosed the lesion as TB fasciitis that improved with anti-TB drug therapy...
2016: Internal Medicine
https://www.readbyqxmd.com/read/27802849/miliary-tuberculosis-and-acquired-immunodeficiency-syndrome-a-cursed-duet
#18
Atif Tatari, Sahana Ramanujam, Suja Mathai, Nigahus Karabulut, Robert L Moser, Sara L Wallach
Tuberculous osteomyelitis is rare and usually involves the vertebrae but is seldom found in the foot. The uncommon site and ability to mimic other disorders clinically and radiographically leads to diagnostic and therapeutic delays. We report a case of a 40-year-old man who initially presented to his podiatrist with intermittent pain and swelling of his right ankle and foot that lasted for a year. He also started to exhibit significant weight loss and unexplained fevers and was subsequently hospitalized for cellulitis of his right foot...
2016: Journal of Community Hospital Internal Medicine Perspectives
https://www.readbyqxmd.com/read/27800137/urine-based-nested-pcr-for-the-diagnosis-of-mycobacterium-tuberculosis-a-comparative-study-between-hiv-positive-and-hiv-negative-patients
#19
Mahin Jamshidi Makiani, Parivash Davoodian, Mahnaz Baghershiroodi, Abdol Azim Nejatizadeh, Farideh Fakkhar, Mehrangiz Zangeneh, Nadia Jahangiri
BACKGROUND: While tuberculosis (TB) can be diagnosed by microscopy and culture, the sensitivity of Ziehl-Neelsen staining is variable and culture results require 4 - 8 weeks to be determined. Polymerase chain reaction (PCR) and its modifications, including nested PCR, might be promising methods for the rapid diagnosis of TB. OBJECTIVES: This study aimed to evaluate the performance of nested PCR on urine samples of human immunodeficiency virus (HIV)-positive and -negative patients with different manifestations of clinical TB...
August 2016: Jundishapur Journal of Microbiology
https://www.readbyqxmd.com/read/27798774/detection-of-transrenal-dna-for-the-diagnosis-of-pulmonary-tuberculosis-and-treatment-monitoring
#20
Ines Labugger, Jan Heyckendorf, Stefan Dees, Emilia Häussinger, Christian Herzmann, Thomas A Kohl, Elvira Richter, Eric Rivera-Milla, Christoph Lange
PURPOSE: Molecular diagnostics of patients with MTB tuberculosis from urine samples. METHODS: We developed a new molecular assay based on the detection of M. tuberculosis-specific transrenal DNA (trDNA) and tested it for the diagnosis of active tuberculosis at the initiation of anti-tuberculosis therapy and during treatment follow-up. RESULTS: The overall sensitivity of trDNA was 96 and 100% when smear-microscopy and trDNA was combined. In a subset of TB treatment naïve patients (n = 11) sensitivity and specificity of trDNA was 64 and 100%, respectively...
October 31, 2016: Infection
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