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- W2330711926 abstract "Tuberculosis causes unnecessary deaths because of failure to diagnose and treat what is today a curable disease. In order to assess the magnitude of undiagnosed tuberculosis in hospitalised patients, a retrospective study was carried out at Queen Mary Hospital by reviewing the postmortem records of patients who died in 1985 and 1986. Of 944 clinical postmortem cases, 104 patients (11%) had active or inactive tuberculosis. The clinical records and microscopic slides were reviewed and analysed (Table 1). A total of 43 active TB cases were identified, 26 being undiagnosed before death. Of these 26 cases, 10 were missed by the pathologists on gross examination and became apparent only after microscopic examination. These 26 undiagnosed TB cases were analysed according to age, sex, and underlying/accompanying diseases. The causes for the failure of antemortem diagnosis will be discussed and ways to improve the diagnostic acuity suggested. Table 1 1985 1985 total Total no. of autopsies 440 504 944 No. of TB (act1ve/inact1ve) cases 48 56 104 No. of active TB cases a) clinical proven/suspected 5 12 17 b) diagnosed only at postmortem gross examination 9 7 16 c) diagnosed only on postmortem histology 3 7 10 17 26 43" @default.
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- W2330711926 date "1990-01-01" @default.
- W2330711926 modified "2023-09-27" @default.
- W2330711926 title "Undiagnosed tuberculosis in hospitalised patients" @default.
- W2330711926 doi "https://doi.org/10.1016/s0031-3025(16)36401-7" @default.
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