E.shafigh (m.d), S.siadati (m.d),
Volume 6, Issue 2 (Autumn & Winter 2004)
Abstract
Background & Objective: Tuberculosis (TB) is still one of the most common causes of death in the world. The incidence of TB, included extra pulmonary variant has been increasing in developed countries for 2 past decades and also has a high incidence and prevalence in underdeveloped countries. To determine the type of involved organ by extra pleuro-pulmonary TB in Shahid Beheshti Hospital in Babol, the present study was carried out. Materials & Methods: Pathological reports of extra pleuro-pulmonary TB in Babol Shahid Beheshti Hospital during performed 1990-2003 have been studied. Sex, age and involved organs were determined, and subsequently the appropriate table was set up. Results: During 14 years, we diagnosed 82 cases of extra pleuro-pulmonary TB, 44 were men and 38 women, with age ranges of 8 months-79 years. TB lymphadenitis was the most common form (45 cases), followed by soft tissue 14 cases, bone 4, intestine 3, and 2 cases for endometrium, skin, testis and epididymis, and one case for ovary, tonsil, larynx, prostate, parotid gland, synovium, stomach, and kidney. The diagnosis was confirmed by presence of acid-fast bacillus in tissue section by Ziehl Neelsen staining and good response to anti-TB treatment. Conclusion: Although the TB lymphadenitis was the most common type, but in regions with high rate of TB, considering extra pleuro-pulmonary TB in unusual clinical setting is important and using appropriate diagnostic procedures and treatment if it is necessary.