Prevalence and diagnosis of Extra pulmonary Tuberculosis in Assuit Chest Hospital

Abstract

Background: Extra pulmonary tuberculosis (EPTB) more common than pulmonary tuberculosis (PTB) in Assuit Chest Hospital. Objective: to know the prevalence of EPTB in comparison to PTB in Assiut chest hospital. Methods: An eighteen months retrospective descriptive analysis to assess prevalence of all EPTB patients registered from January 2016 to June 2017 was carried out in Assuit Chest Hospital’s DOTS clinic. Demographic data included patient's age, sex, address, marital status, level of education address and affected organs. Clinical presentation such as fever, cough, hemoptysis, night sweats, chest pain, weight loss and another symptoms according to affected system. Laboratory tests such as sputum analysis, x-ray chest, tuberculin test and biopsies. Results: 127cases 64.14% are EPTB while 71cases 35.86% are PTB, 121 cases in urban area while 77 cases in rural area, 123 cases diagnosed by Biopsy,56 cases by sputum analysis,15 cases by CXR,4 cases by MRI, the most common sites of extra pulmonary disease were lymph nodes 29.13%, genitourinary 22.82%, bone and vertebral columne22.62%, GIT, spleen and peritoneum 14.18% then unclassified EPTB12.61%.