1987
DOI: 10.1111/j.1445-5994.1987.tb00110.x
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Extrapulmonary Tuberculosis a Continuing Problem in Australia

Abstract: Extrapulmonary tuberculosis (TB) remains a major health problem in Australia, with 24.3% of all new tuberculosis notifications in 1984 of extrapulmonary origin. We have reviewed our recent experience to assess the epidemiology and clinical features that may allow the earlier recognition and treatment of patients at risk for this disease. From 1980-1985, 51 cases of extrapulmonary TB were identified at Westmead Hospital. Thirty-eight patients were born outside Australia, mainly in South-East Asia and Europe. Th… Show more

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Cited by 28 publications
(23 citation statements)
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“…It is noteworthy that Vietnamese patients made up 60% of the case patients but only 32% of patients in our comparison cohort (see Table 1). The propensity of TB lymphadenitis to occur in immigrants from Asia has been noted previously 25,52,64,67,71 , and may be related in part to the age at immigration 67 . TB lymphadenitis in the United States has been reported disproportionately in Asian immigrants aged 15-44 years 67,71 , and this observation explains the different representation of Asian countries in the lymphadenitis and non-lymphadenitis cohorts.…”
Section: Discussionmentioning
confidence: 91%
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“…It is noteworthy that Vietnamese patients made up 60% of the case patients but only 32% of patients in our comparison cohort (see Table 1). The propensity of TB lymphadenitis to occur in immigrants from Asia has been noted previously 25,52,64,67,71 , and may be related in part to the age at immigration 67 . TB lymphadenitis in the United States has been reported disproportionately in Asian immigrants aged 15-44 years 67,71 , and this observation explains the different representation of Asian countries in the lymphadenitis and non-lymphadenitis cohorts.…”
Section: Discussionmentioning
confidence: 91%
“…The British Thoracic Society studies documented that paradoxical expansion during therapy occurred in 23%-25% of patients [12][13][14]25,29,77 . Paradoxical expansion was noted in 20% of patients in the current study.…”
Section: Discussionmentioning
confidence: 99%
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“…Extrapulmonary TB can affect virtually any organ system with some affected more commonly. Lymph node TB was found to be the most prevalent form of extrapumonary TB in many studies [10,11] Milder symptoms in patients whose chest x-rays were negative which may be secondary to the lesser degree of infection of patients with negative chest x-rays.A careful history can provide important clues to the diagnosis of a neck mass Cervical lymph node calcification is usually asymptomatic and may be found on clinical and radiographic examination Second patient had tuberculosis20 years ago On clinical examination palpable firm to hard node noticed and radiograph revealed calcified nodewhich is regarded as Submandibular cervical lymph node calcification and presumed that TB may be due to ingesting milk infected with Mycobacterium bovies resulting lymph node calcification Extrapulmonary tuberculosis is usually paucibacillary and any treatment with regimen effective in pulmonary tuberculosisis likely to be effective in the treatment of extrapulmonary tuberculosis as well. Studies are needed to understand the overall proportion of extrapulmonary cases of tuberculosis the anatomical sites and risk factors for extrapulmonary involvement.…”
Section: IVmentioning
confidence: 99%