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- W2338857572 abstract "Two hundred and sixty nine cases of extrapulmonary tuberculosis from a total of 277 sites were reported to the Tri-Service General Hospital between January 1, 1983 and December 31, 1992. They represented 15.4 percent of active tuberculous infection over the same period. The annual number of cases extrapulmonary tuberculosis remains relatively constant, contrasted with that of pulmonary tuberculosis over the same period. Bacteriological and histopathological examinations in making a definite diagnosis was equally important. The most common sites of involvement were pleura in 86 (32.0%), lymph nodes in 55 (20.4%), bone/joints in 44 (16.4%), military infection 30 (11.1%) and gastrointestinal tract in 22 (8.2%). Presenting symptoms were protean and often resulted in long delays between onsets of symptoms and eventual diagnosis. Prior history of, or exposure to tuberculosis, constitutional symptoms and febrile course were important findings suggesting the diagnosis. Male patients predominated in all forms of extrapulmonary tuberculosis except for TB meningitis. The ratio of male to female was 2.6:1. The peak number of cases by age occurred in the third decade of life and the mean age male patients was 36.8 years, which was younger than 48.9 years of female patients. Most of these patients with extrapulmonary tuberculosis receiving adequate anti-TB chemotherapy showed a favorable outcome, no matter with or without surgical intervention. Five cases died; two for TB-unrelated causes, three for the sequelae of TB meningitis. It is concluded that extrapulmonary tuberculosis remains an important infectious problem despite overall decrease in the incidence of tuberculosis, and maintaining a high index of clinical suspicion is mandatory for any unexplained diseases presented to medical practitioners." @default.
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- W2338857572 date "1995-12-01" @default.
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- W2338857572 title "Extrapulmonary Tuberculosis in Tri-Service General Hospital, 1983 to 1992" @default.
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