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Search Results: 1 - 10 of 3946 matches for " tuberculosis "
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Peritoneal Tuberculosis: Looking beyond the Typical Pathology  [PDF]
O’Dene Lewis, Suneel Tammana, Peter Sealy
Open Journal of Internal Medicine (OJIM) , 2014, DOI: 10.4236/ojim.2014.41001
Abstract: Peritoneal tuberculosis (TbP), an uncommon peritoneal infection, is commonly diagnosed in immigrants from developing countries and represents a substantial proportion of cases of extra pulmonary tuberculosis. The variability in patient presentation and the indolent nature of the infection, combined with limited diagnostic strategies available for TbP, often results in delayed diagnosis. Case: Described herein is the case of a 39 years old male recent immigrant from Mali (West Africa), with no significant medical history that presented to hospital with a four-day history of abdominal pain and swelling. Examination was significant for distended abdomen and shifting dullness. No signs and symptoms suggested pulmonary infection, however, QuantiFERON-TB Gold and purified protein derivative (PPD) test were positive suggesting latent Tb infection. In the absence of pulmonary tuberculosis, a diagnosis of TbP should be established histologically. Laparoscopic biopsy showed granuloma but the typical caseating granuloma of TbP was not seen. Nonetheless, based on the extent of the clinical and laboratory findings, the patient was diagnosed with TbP and anti Tb treatment ensued with successful outcome. Conclusion: The lack of caseating granulomas in the pathology should not rule out a diagnosis of TbP, especially in cases where accompanying evidence suggests some form of Tuberculosis.
Primary lingual tuberculosis, a rare case report
Nithya Raghunath,Sreekar Harinatha,Sreeharsha Harinatha
Our Dermatology Online , 2012,
The history of tuberculosis in the World
Bar?? Y?.
Konuralp Tip Dergisi , 2011,
Estudio epidemiológico-molecular de un brote de tuberculosis en el hospital psiquiátrico de La Habana
Ramón I. Gómez Delgado,Raúl Díaz Rodríguez,Nelaine García Acosta,José A. Valdivia álvarez
Revista Cubana de Higiene y Epidemiología , 2000,
Abstract: El incremento de la tuberculosis en Cuba en los últimos a os ha estado parcialmente relacionado con la ocurrencia de brotes institucionales, confirmado por el análisis del polimorfismo de los fragmentos de restricción. En este trabajo se estudió, por métodos epidemiológicos convencionales y moleculares, el aumento de casos de tuberculosis diagnosticados en 1995-1998 entre los pacientes en el Hospital Psiquiátrico de La Habana para conocer su posible carácter epidémico. Se observó que la mayoría de los pacientes pertenecían a salas localizadas en un área bien definida de la institución. Tenían un patrón de restricción idéntico 11 de las 14 cepas analizadas. Los hallazgos moleculares y convencionales permitieron confirmar el carácter de brote y definir el caso índice y la posible vía de transmisión. Se reafirmó el valor de las técnicas moleculares como instrumento valioso en la epidemiología de la tuberculosis y su contribución al control epidemiológico local de esta enfermedad. The increase of tuberculosis in Cuba in the last years has been partially related to the ocurrence of institutional outbreaks, confirmed by the analysis of the polymorphism of restriction fragments. In the present paper, the increase of tuberculosis cases diagnosed in the period 1995-1998 among the patients of the Psychiatric hospital of Havana city was studied in order to know their possible epidemic character. It was observed that most of the patients were from wards located in a well defined area of the institution. 11 of the 14 strains analyzed had an identical restriction pattern. The molecular and convencito findings allowed to confirm the nature of the outbreak and to define the index case as well as the possible way of transmission. It was reaffirmed the value of the molecular techniques as a valuable instrument in the epidemiology of tuberculosis and their contribution to the local epidemiological control of this disease.
Smear negative pulmonary tuberculosis and infectivity
B Thapa
International Journal of Infection and Microbiology , 2013, DOI: 10.3126/ijim.v2i3.8663
Abstract: DOI: http://dx.doi.org/10.3126/ijim.v2i3.8663 Int J Infect Microbiol 2013;2(3):68-69
Pulmonary and Extra Pulmonary Tuberculosis in Qatar: A First Retrospective Population-Based Study  [PDF]
Mohammed Abu Khattab, Fahmi Yousef Khan, Mona Al Maslamani, Abdul Latif Al-Khal, Akram El Gendy, Hussam Al Soub, Faraj S. Howady
Advances in Infectious Diseases (AID) , 2015, DOI: 10.4236/aid.2015.54018
Abstract: Background: There is limited information about extra pulmonary tuberculosis (EPTB) in Qatar. The aim of this study is to describe the demographic characteristics of patients with Tuberculosis (TB) in Qatar, and to compare the characteristics of EPTB with those of Pulmonary Tuberculosis (PTB). Patients and Methods: The study was conducted at Hamad Medical Corporation (HMC) in Qatar, from January 2005 to December 2008. It involves all cases of TB diagnosed in Qatar which do not include patients who are diagnosed by routine screening tests upon entry to state of Qatar. Results: 1221 cases of TB were reported; 654 (53.6%) were EPTB; and 567 (46.4%) were PTB. Nine hundred fifty-one (77.9%) were males and two hundred and seventy (22.1%) were females; the mean age was 32.7 ± 811.7 years; only 6.9% (84/1221) of them were Qataris. The most frequent associated condition was diabetesmellitus (DM) (30; 2.5%), and the most frequent site involved was lymph node (285 cases; 43.5%). One thousand two hundred patients continued on first-line drugs while 21 patients received second line treatment. The mean duration of antituberculous therapy was 6.7 ± 1.7 months. Hepatitis was the main drug toxicity. Eight hundred and forty seven patients (69.3%) cured and eight patients (0.7%) died, whereas the remaining three hundred and sixty-six patients (30.0%) had left the country before completing therapy. The proportion of EPTB among females was higher than males, whereas diabetes mellitus was strongly associated with PTB. Conclusion: TB is still common in Qatar with predominance of EPTB. Although male predominated, the proportion of TB, EPTB among females was higher than males.
Tuberculosis in China  [PDF]
Tian Hu, Wenjie Sun
Journal of Tuberculosis Research (JTR) , 2013, DOI: 10.4236/jtr.2013.12002
Abstract: Tuberculosis in China
Tuberculosis: Laboratory Diagnosis and Dots Strategy Outcome in an Urban Setting: A Retrospective Study  [PDF]
Nazish Fatima, Mohammad Shameem, Fatima Khan, Indu Shukla, Parvez A. Khan,   Nabeela
Journal of Tuberculosis Research (JTR) , 2014, DOI: 10.4236/jtr.2014.23013
Abstract: Pulmonary Tuberculosis (TB) is a global public health threat. It has a worldwide distribution with a very high prevalence in Asian countries. A correct diagnosis forms an important and indispensable part of proper and timely treatment. Detection of acid fast bacilli in direct smears has considerable clinical and epidemiological value and remains the most widely used rapid diagnostic test. In smear negative cases, radiography has an important role to play. Directly Observed Treatment Short Course (DOTS) strategy is one of the most cost-effective health interventions to treat tuberculosis. Samples from clinically suspected cases of TB were screened for the presence of Acid Fast Bacilli (AFB). Radiography and culture was done for the AFB negative cases. 760 cases of pulmonary TB were diagnosed by smear examination and 412 by radiography. 270 cases of pulmonary TB were diagnosed in the study. Of the 1422 patients put on DOTS, out of which 1138 (80.1%) were successfully treated. Thus, smear examination for AFB and radiography should go hand in hand for correct diagnosis and treatment of TB by DOTS which is a very successful regimen for developing countries like India.
Estratificación epidemiológica en el control de los factores de riesgo de la tuberculosis Epidemiological stratification to control the risk factors of tuberculosis
Elba Nieves Moreno Díaz,Roberto González Cruz,Alicia Sotolongo Castillo,Mareylis Martínez Porras
Revista de Ciencias M??dicas de Pinar del R?-o , 2011,
Abstract: Se realizó un estudio descriptivo longitudinal, con el objetivo de implementar la estratificación epidemiológica en el control de los factores de riesgo de la tuberculosis, provincia Pinar del Río, 2008-2010. El universo de estudio lo constituyó, los habitantes de la provincia en cada uno de los a os estudiados. Se revisó el registro de dispensarización y las encuestas epidemiológicas; de ellos se obtuvieron los factores de riesgo: alcoholismo, hábito de fumar, diabetes mellitus, ancianos solos, desnutrición, inmunodeprimidos y casos viviendo con VIH/Sida. Para el procesamiento de la información se trabajó con Microsoft Excel y MapInfo Professional. Se utilizó la metodología estratificación epidemiológica de riesgo hasta nivel municipal; los estratos para los factores de riesgo como para la enfermedad, se clasificaron en: muy alto, alto, mediano y bajo riesgo. Para determinar la significación de cambios se utilizó la prueba Mc Nemar. Los resultados mostraron que en el 2009, el 50% de los municipios que en la estratificación del 2008 estaban en el estrato de muy alto y alto riesgo, el 85,7% cambiaran de estratos, lo que indica un mejor control de los factores de riesgo. El proceso de estratificación en el 2010, no logró cambios favorables en los municipios con mayor riesgo en el 2008, estando el 65% clasificado en estratos de muy alto y alto riesgo, pues el plan de acción previsto, no fue ejecutado con efectividad y seriedad por los jefes de programa, debido a inestabilidad y ausencia de los mismos en los municipios de mayor riesgo. A descriptive, longitudinal study aimed at implementing epidemiological stratification to control the risk factors of tuberculosis in Pinar del Rio province was carried out form 2008 to 2010. The target group was comprised of the inhabitants of the province for each of the years under study. Records and epidemiological survey were revised; taking into account the risk factors of alcoholism, smoking, diabetes mellitus, old people living alone, malnutrition, and immunosupression plus HIV/AIDS cases. To process the information Microsoft Excel and Professional MapInfo were used; making use of the epidemiological methodology to stratify the risks up to the municipal level; the strata to the risk factors of the disease were classified as: very high, high, middle and low risk. McNemar test was applied to determine the significance of changes. Results showed that in 2009, 50% of the municipalities having strata of very high, and high risk in 2009 changed their levels (85,7%), which pointed out a better control of the risk factors. Th
Sobre re infecciones exógenas y tuberculosis de re infección
Revista chilena de pediatría , 1941,
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