Case Series
Year : 2021 Month : January-March Volume : 10 Issue : 1 Page : PS01 - PS04

Study of Extrapulmonary Tuberculosis in a Tertiary Care Hospital
Ankita Pranab Mandal, Rama Saha, Sudipan Mitra, Jaydip Deb
1. Post Graduate Trainee, Department of Pathology, Institute of Post Graduate Medical Education and Research, Kolkata, West Bengal, India. 2. Associate Professor, Department of Pathology, Institute of Post Graduate Medical Education and Research, Kolkata, West Bengal, India. 3. Assistant Professor, Department of Medicine, North Bengal Medical College, Darjeeling, West Bengal, India. 4. Professor and Head, Department of Chest Medicine, Nil Ratan Sircar Medical College, Kolkata, West Bengal, India.
 
Correspondence Address :
Rama Saha,
FD- 112, Salt Lake City, Sector-III, Kolkata-700106, West Bengal, India.
E-mail: ankitapmandal@gmail.com
 
ABSTRACT
: 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.
Keywords : Breast, Endometrium, Kidney, Spleen, Testis