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1篇 您的检索式:作者名="Che Wan Aminuddin"
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1Extra pulmonary tuberculosis in a tertiary teaching hospital:A five years review显示文摘Objective:To investigate the prevalence,clinical and bacteriological features and outcome of extrapulmonary tuberculosis in patients attending a tertiary care hospital at Kota Bharu,Kelantan.Methods:All culture positive tuberculosis cases recorded in Hospital Universiti Sains Malaysia at Kota Bharu during five years period from 2003-2007 were included in the study.Mycobacterium detected in samples originating from sites other than lungs was considered as a case of extrapulmonary tuberculosis.Age,site of infection,bacteriological findings and outcomes were analyzed.Results:Out of 437 tuberculosis cases recorded from 2002-2006,59 cases had culture positive extrapulmonary tuberculosis.Their mean age was 37 years and 44%were between the ages of 20-40 years.About 63%were negative for acid-fast bacilli by Z-N stain.Of the 59,97%was Mycobacterium tuberculosisc(M.tuberculosis) while two(3%) were atypical Mycobacterium Runyon Group-Ⅳ.Only 3 (5%) were isoniazid resistant.Extrapulmonary sites involved were lymph nodes 19(31%),central nervous system 12(20%),pleural 11(19%) spine 8(14%).,renal 3(5.1%) and others 6(10.2%).In this series, 11(18%) were positive for HIV.There was no significant association between extrapulmonary tuberculosis and HIV status.The outcome of CNS tuberculosis was the poorest with a mortality rate of 25%.Conclusion: M.tuberculosis is the predominant organism in extrapulmonary tuberculosis and culture is the most effective method for its diagnosis.Siti Suraiya Md Noor Zaidah Abdul Rahman Sarimah Abdullah Zakuan Zainy Deris Che Wan Aminuddin 2009Asian Pacific Journal of Tropical Medicine2009,2,5:0
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