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The prevalence of pulmonary parenchymal tuberculosis in patients with tuberculous pleuritis

Cited 69 time in Web of Science Cited 68 time in Scopus
Authors
Kim, Hee Joung; Lee, Hyun Ju; Kwon, Sung-Youn; Yoon, Ho Il; Chung, Hee Soon; Lee, Choon-Taek; Han, Sung Koo; Shim, Young-Soo; Yim, Jae-Joon
Issue Date
2006-05-11
Publisher
American College of Chest Physicians (ACCP)
Citation
Chest. 2006 May;129(5):1253-8.
Keywords
AdolescentAdultAgedAged, 80 and overChildFemaleFollow-Up StudiesHumansKorea/epidemiologyMaleMiddle AgedMycobacterium tuberculosis/isolation & purificationPrevalenceProspective StudiesRadiography, ThoracicSputum/microbiologyTomography, X-Ray ComputedTuberculosis, Pleural/*complications/diagnosis/epidemiologyTuberculosis, Pulmonary/complications/diagnosis/*epidemiology
Abstract
STUDY OBJECTIVE: To examine the prevalence and characteristics of parenchymal tuberculous pleuritis in adult patients. DESIGN: Prospective cohort study. SETTING: Three hospitals affiliated with Seoul National University in South Korea. PATIENTS: All patients > 15 years old with a diagnosis of tuberculous pleuritis were enrolled prospectively between January 1, 2004, and October 31, 2004. INTERVENTIONS: Diagnostic thoracocentesis and CT of the chest were done for each patient. Acid-fast bacilli (AFB) smears and cultures for Mycobacterium tuberculosis were requested if patients produced any sputum. A board-certified radiologist reviewed the chest radiographs for the presence and characteristics of any lesions. MEASUREMENTS AND RESULTS: One hundred six patients with tuberculous pleuritis were enrolled (median age, 53 years; range 16 to 89 years). Among them, 33 patients (31%) had sputum or bronchial washing findings positive for AFB smears or for M tuberculosis by culture. Lung parenchymal lesions were observed in 91 of the patients (86%) using chest CT; 39 patients (37%) with parenchymal lesions had radiographic characteristics of active pulmonary tuberculosis. In total, 62 patients (59%) had bacteriologically or radiographically active pulmonary tuberculosis. In addition, 78 patients (74%) had features of reactivated pulmonary tuberculosis. CONCLUSIONS: Lung parenchymal lesions were more common in this series of patients with tuberculous pleuritis than has been reported in previous studies. The patients mostly had radiographic features of reactivated, rather than primary, tuberculosis.
ISSN
0012-3692 (Print)
Language
English
URI
http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&dopt=Citation&list_uids=16685016

http://hdl.handle.net/10371/29652
DOI
https://doi.org/10.1378/chest.129.5.1253
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College of Medicine/School of Medicine (의과대학/대학원)Internal Medicine (내과학전공)Journal Papers (저널논문_내과학전공)
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