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Titolo:
Study of tuberculosis in the field of otorhinolaryngology in the past 10 years
Autore:
Konishi, K; Yamane, H; Iguchi, H; Nakagawa, T; Shibata, S; Takayama, M; Sunami, K; Nakai, Y;
Indirizzi:
Osakaapany Univ, Sch Med, Dept Otorhinolaryngol, Abeno Ku, Osaka 5458585, J Osaka City Univ Osaka Japan 5458585 laryngol, Abeno Ku, Osaka 5458585, J Yodogawa Christian Hosp, Dept Otorhinolaryngol, Osaka, Japan Yodogawa Christian Hosp Osaka Japan Dept Otorhinolaryngol, Osaka, Japan Wakakusa First Hosp, Dept Otorhinolaryngol, Osaka, Japan Wakakusa First Hosp Osaka Japan sp, Dept Otorhinolaryngol, Osaka, Japan
Titolo Testata:
ACTA OTO-LARYNGOLOGICA
, , anno: 1998, supplemento:, 538
pagine: 244 - 249
SICI:
0001-6489(1998):<244:SOTITF>2.0.ZU;2-M
Fonte:
ISI
Lingua:
ENG
Soggetto:
RESISTANT TUBERCULOSIS;
Keywords:
background factors; diagnosis; doctor's delay; head and neck; M-tuberculosis;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Life Sciences
Citazioni:
15
Recensione:
Indirizzi per estratti:
Indirizzo: Konishi, K Osaka City Univ, Sch Med, Dept Otorhinolaryngol, Abeno Ku, 1-5-7 Asahimati, Osaka City Univ 1-5-7 Asahimati Osaka Japan 5458585 Asahimati,
Citazione:
K. Konishi et al., "Study of tuberculosis in the field of otorhinolaryngology in the past 10 years", ACT OTO-LAR, 1998, pp. 244-249

Abstract

Over the 10 years from 1988 to 1997, a total of 18 cases of tuberculosis of the head and neck (8 of the cervical lymph node, 5 of the larynx, 2 of the salivary glands, and 1 each of the hypopharynx, tongue and middle ear) were diagnosed in our department. Four cases were diagnosed in 1996 and 8 in 1997, indicating a rapid increase over these 2 years. Definitive diagnosis was based on histopathological examination in 14 cases, detection of M. tuberculosis in 1 case and exclusion diagnosis, mainly using the tuberculin skin test, in 3 cases. The length of time from the first examination to obtaining a definitive diagnosis was 14.2 +/- 6.5 days in five subjects in whom tuberculosis was suspected from the beginning or in whom tuberculosis was suggested by the physician in making a differential diagnosis, 25.3 +/- 17.2days in the group in whom malignant tumour was suspected and 64.3 +/- 57.3days in other cases. Although no significant difference was found (p = 0.077), the length of time until diagnosis tended to be shorter in the cases that were suspected of having tuberculosis from the beginning. Family history and past history of tuberculosis, contact with a tuberculous patient and abnormal findings at chest X-ray were examined as background factors, and some of these were present in nine out of the 18 cases. In the five cases diagnosed in the early stage, some of the background factors were found in four cases. However, no significant difference in the time until definitive diagnosis was found between the groups with or without background factors inall cases (p = 0.675). These results suggest the importance of consideringtuberculosis when performing differential diagnoses.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 28/11/20 alle ore 03:16:01