Unsuspected Pulmonary Tuberculosis in a Community Teaching Hospital

Counsell, Steve; Tan, James S.; Dittus, Robert S.

doi:10.1001/archinte.1989.00390060028006

Cited by 74 publications

(34 citation statements)

References 14 publications

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“…The proportions of patients who were diagnosed within three months after the onset of symptoms were identical; 38 percents in both groups. When three types of patients who had initially visited facilities other The importance of early detection of tuberculosis is that the disease is curable if detected, complicated if prolonged, and may be fatal if undiagnosed 6,14,15). A prolonged delay brings family clusters of tuberculosis patients, too 16).…”

Section: Methodsmentioning

confidence: 99%

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Differing Influence on Delays in the Case-Finding Process for Tuberculosis Between General Physicians and Specialists in Mongolia

Enkhbat

Toyota

Yasuda

et al. 1997

Journal of Epidemiology

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Section: Methodsmentioning

confidence: 99%

“…Several studies have reported influence of demographic and socioeconomic characteristics, and laboratory examination findings of patients [3][4][5][6][7][8][9][10][11][12]. Furthermore, various health care systems seem to influence delays differently.…”

mentioning

confidence: 99%

Differing Influence on Delays in the Case-Finding Process for Tuberculosis Between General Physicians and Specialists in Mongolia

Enkhbat

Toyota

Yasuda

et al. 1997

Journal of Epidemiology

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“…In a study at a community teaching hospital in Ohio (USA), Counsell et al (11) found that pulmonary tuberculosis was not suspected in 13 of 31 (42%) patients at the time of the initial evaluation. Pneumonia was the admitting diagnosis in the majority of these patients.…”

Section: Discussionmentioning

confidence: 99%

Reasons for Coming to Hospital after Treatment for Community‐Acquired Pneumonia on an Ambulatory Basis

Shariatzadeh

Marrie

2006

Canadian Respiratory Journal

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BACKGROUND: Most patients with community-acquired pneumonia (CAP) are treated on an ambulatory basis. OBJECTIVE: To evaluate the reasons for presentation to hospital after treatment for CAP on an ambulatory basis. METHODS:The study, conducted in five hospitals in the Capital Health Region (Edmonton, Alberta), enrolled adult patients aged 17 years or older who presented with a history of having been diagnosed and treated for pneumonia within the previous month. A current diagnosis of pneumonia was based on two or more symptoms or signs of CAP, plus radiographic evidence of pneumonia. RESULTS: Seventy-five (77.3%) of the 97 patients who met the inclusion criteria had CAP, and 22 (22.7%) patients presented with a noninfectious illness. Of the patients with CAP, 25 (33.3%) met the study criteria for worsening of a comorbid illness, 23 (30.7%) had clinical failure, 16 (21.3%) had microbiological failure, six (8.0%) were noncompliant, four (5.3%) had failure of expectations and one (1.3%) had adverse effects of antimicrobial therapy. CONCLUSIONS: Underlying diseases, exacerbations of comorbidities and complications of CAP, as well as confounders such as unusual infections and noninfectious conditions that mimic CAP, are all reasons for presenting to hospital after treatment for CAP in an ambulatory setting.

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“…Unusual radiographic appearances and the presence of extrapulmonary disease are more common in immunocompromised individuals, such as persons with HIV infection and the elderly. In one review of unsuspected tuberculosis in a community hospital, 92% of all patients were elderly [77]. In that series, 60% of cases were reported after the patient's death.…”

Section: Unusual Infectionsmentioning

confidence: 96%

Nonresolving Pneumonia

Weyers¹,

Leeper²

2005

Clinics in Chest Medicine

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Uncertainty over the expected clinical course of a community-acquired or nosocomial pneumonia is a common reason for pulmonary consultation. Determining which patients with prolonged pneumonia and at what point during therapy they should undergo further evaluation can be challenging. This article reviews "normal" resolution times for the most common pneumonias, risk factors for delayed resolution, and infectious and noninfectious conditions that can cause nonresolving pneumonia. An approach to the evaluation of the patient with this common problem is described.

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Unsuspected Pulmonary Tuberculosis in a Community Teaching Hospital

Cited by 74 publications

References 14 publications

Differing Influence on Delays in the Case-Finding Process for Tuberculosis Between General Physicians and Specialists in Mongolia

Differing Influence on Delays in the Case-Finding Process for Tuberculosis Between General Physicians and Specialists in Mongolia

Reasons for Coming to Hospital after Treatment for Community‐Acquired Pneumonia on an Ambulatory Basis

Nonresolving Pneumonia

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