Extrapulmonary tuberculosis situation in El-Behira Governorate, Egypt
Extrapulmonary tuberculosis situation in El-Behira Governorate, Egypt
Nabil A Abdelghaffar Hibah
Abdelghaffar Hibah NA. Extrapulmonary tuberculosis situation in El-Behira Governorate, Egypt. Egypt J Bronchol 2015;9:96-100
Abstract
Aim
There have been little published data about extrapulmonary tuberculosis (EPTB) situation in Egypt. The aim was to throw some light over EPTB patterns in Egypt regarding demographics, sites of affection, and treatment outcome.
Methods
This work was a retrospective, descriptive analysis of EPTB cases, carried out at El-Behira Chest Hospital and 14 related dispensaries. All available data about registered EPTB cases from January 1996 to December 2010 (15 years duration) were collected including demographic data, site of EPTB, previous treatment history, treatment category, and treatment outcome. A descriptive analysis of the data was performed using the SPSS statistical program. Data were described in absolute numbers and percentages. Statistical significance was set at P value less than 0.05.
Results
EPTB [n = 2119 (21%) of all diagnosed tuberculosis] occurred more in age groups between 15 and 29 and 30 and 44 years [n = 965 (45.5%) and n = 572 (27%), respectively] and in male patients [n = 1233 (58%)] than in female patients [n = 886 (42%)]. Pleural [n = 1341 (63.3%)], bone [n = 157 (7.5%)], and renal [n = 34 (1.6%)] tuberculosis were more common in male patients [n = 856 (64%), n = 99 (63%), n = 22 (64.5%), respectively], whereas lymph node [n = 427 (20%)] and genital [n = 70 (3.3%)] tuberculosis were more common in female patients [n = 240 (56.5%), n = 42 (60%), respectively]. Regarding treatment outcomes, successful treatment was obtained in 1725 cases (81.5%), treatment failure in 13 cases (0.5%), defaulting in 179 cases (8.5%), death in 77 cases (3.5%), and transfer-out in 125 cases (6%). Number of cases diagnosed declined through the years of study and was the highest in winter months, peaking in March.
Conclusion
EPTB is a burden of reproductive age groups (15-44 years), with pleura being the commonest site of the disease that occurred more in male patients and age groups 15-44 years, followed by lymph nodes that occurred more in female patients and age group below 15 years. Successful treatment outcome was obtained in 81.5% of EPTB cases.
Keywords
Egypt, extrapulmonary, lymph nodes, pleura, tuberculosis
