Göðüs Hastanesi Dergisi. 2003; 17(1): 1-6

ÝZMÝR BALÇOVA VEREM SAVAÞ DÝSPANSERÝNDE 1998- 2001 YILLARI ARASINDA ÝZLENEN EKSTRAPULMONER TÜBERKÜLOZLU OLGULARIN GENEL ÖZELLÝKLERÝ

Yasemin YILDIRIM¹, Gül Hatice DEMÝR¹
Balçova Verem Savaþ Dispanseri, Ýzmir

Mycobacterium tuberculosis enfeksiyonu bütün doku ve organlarý etkileyerek hastalýk oluþturabilir ve farklý klinik bulgular verebilir. 1998-2001 yýllarý arasýnda Ýzmir Balçova Verem Savaþ Dispanserine baþvuran ekstrapulmoner tüberküloz (EPT) olgularýnýn genel özelliklerinin belirlenmesi için retrospektif bir çalýþma yapýldý. Ayný dönemde kayýtlý toplam 345 olgu arasýnda 74 (%21.44) EPT olgusu bulundu. Kýrkdört olgu (%59.45) erkek ve 30 olgu (%40.55) kadýndý. Yaþ ortalamasý 37.51 idi. Hastalýðýn 41 olguda (%55.5) plevrada, 18 olguda (%24.3) lenf nodlarýnda, 5 olguda (%6.7) genitoüriner sistemde (GÜS), 2 olguda (%2.7) kardiyovasküler sistemde (KVS), 1 olguda (%1.3) santral sinir sisteminde (SSS), 1 olguda (%1.3) iskelet sisteminde, 1 olguda (%1.3) üst solunum yollarýnda (ÜSY) yerleþtiði görüldü. Ekstrapulmoner tüberkülozun nadir bir hastalýk olmadýðý ve subfebril ateþ, gece terlemesi ve halsizlik gibi kronik hastalýk bulgularýnýn tüberkülozu akla getirmesi gerektiði sonucuna varýldý.

Anahtar Kelimeler: Ekstrapulmoner tüberküloz, klinik özellikler, taný

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COMMON CHARACTERISTICS OF PATIENTS FOLLOWED AT BALÇOVA TUBERCULOSIS DISPENSARY WITH EXTRAPULMONARY TUBERCULOSIS CASES BETWEEN 1998-2001

Yasemin YILDIRIM¹, Gül Hatice DEMÝR¹
Balçova Verem Savaþ Dispanseri, Ýzmir

Mycobacterium tuberculosis infection may cause a disease which effects all tissues and organs and clinical findings may differ in a wide range. We aimed to investigate retrospectively general features of EPT cases who are admitted to Balçova Tuberculosis Dispensary between 1998 and 2001. Among a total of 345 cases there were 74 (%21.44) EPT cases, 44 (%59.45) of then were male and 30 (%40.55) of then were female with an average age of 37.5. Disease localization were pleura in 41 (%55.5), lymph nodes in 18 (%24.3), gastrointestinal system in 5 (%6.7), genitourinary system in 5 (%6.7), cardiovascular system in 2 (%2.7), central nervous system in 1 (%1.3), skeletal system in 1 (%1.3) and upper airway in 1 (%1.3) cases. In conclusion, EPT is not a rare disease and chronic symptom such as subfebrile fever, night sweat and malaise should remind us of tuberculosis diagnosis.

Keywords: Extrapulmonary tuberculosis, clinical characteristics, diagnosis

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ATIF KOPYALA