Study of Extrapulmonary Tuberculosis in a Tertiary Care Hospital
FD- 112, Salt Lake City, Sector-III, Kolkata-700106, West Bengal, India.
Introduction: India ranks fourth among the global Tuberculosis (TB) burden. Mycobacterium TB is the causative organism. The extrapulmonary involvement accounts for 10% to 42% of cases among them the pleura, lymph node and kidney are the most common organs affected. Other organs affected are quite rare.
Aim: To study clinical features, anatomical site and histological findings of the cases with extrapulmonary TB.
Materials and Methods: A prospective case series study was conducted in a tertiary care hospital for a duration of one year consisting of six cases of TB. Detailed History taking and clinical examination was done followed by blood investigations and radiological evaluation. Gross examination of the specimens followed by histopathological reporting was done. Ziehl-Neelsen (ZN) stain was also performed for the confirmation of the diagnosis.
Results: The present study describes six cases of TB each involving kidney, breast, endometrium, testis and two cases involving spleen. Affected patients mostly belonged to third and fourth decades of life with equal male and female distribution. All the patients underwent treatment, started on Anti-Tubercular Drugs (ATD) and were followed up as well.
Conclusion: TB presents with a varied spectrum of symptoms. In countries like India where TB is widely prevalent, it is always suggested to keep the rare possibility of extrapulmonary TB in mind when patients report. A detailed history, combined with thorough physical examination and vital investigations are necessary, particularly in identifying atypical forms of extrapulmonary TB. Histopathological examination is essential for confirmation. Management with ATD is effective.
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