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Yıl 2016, Cilt: 6 Sayı: 2 - J Microbiol Infect Dis 2016; 06(02) June Issue, 74 - 79, 01.06.2016
https://doi.org/10.5799/jmid.328805

Öz

Kaynakça

  • 1. World Health Organization. Global Tuberculosis Database. Available from: http://www.who.int/research/en.
  • 2. Matsushima T. Miliary Tuberculosis or Disseminated Tuberculosis. Intern Med 2005; 44: 687.
  • 3. Sharma SK, Mohan A, Sharma A. Challenges in the diagnosis & treatment of miliary tuberculosis. Indian J Med Res 2012;135:703-730.
  • 4. Report of tuberculosis in year 2007 in Turkey. Turkish Ministry of Health, Department of Tuberculosis. Ankara, 2007.
  • 5. Yasar KK, Pehlivanoglu F, Sengoz G. Predictors of mortality in tuberculous meningitis: a multivariate analysis of 160 cases. Int J Tuberc Lung Dis 2010;14:1330-1335.
  • 6. Thwaites GE, Chau TT, Stepniewska K, et al. Diagnosis of adult tuberculous meningitis by use of clinical and laboratory features. Lancet 2002;360:1287-1292.
  • 7. Sunbul M, Atilla A, Esen S, et al. Thwaites’ diagnostic scoring and the prediction of tuberculous meningitis. Med Princ Pract 2005;14:151-154.
  • 8. Medical Research Council. Streptomycin treatment of tuberculous meningitis. Br Med J 1948;1:582-597.
  • 9. Mert A, Ozaras R. Clinical importance of miliary pattern in the chest X-Ray of a patient with fever of unknown origin. Intern Med 2005;44:161.
  • 10. Zuger A. Tuberculosis. In Scheld WM, Whitley RJ, Marra CM, editors. Infections of the Central Nervous System. PA: Lippincott Williams & Wilkins. 2004;441-459.
  • 11. Hosoglu S, Geyik MF, Balik I, et al. Predictors of outcome in patients with tuberculous meningitis. Int J Tuberc Lung Dis 2002;6:64-70.
  • 12. Sutlas PN, Unal A, Forta H, et al. Tuberculous meningitis in adults: review of 61 cases. Infection 2003;31:387-391.
  • 13. Peto HM, Pratt RH, Harrington TA, et al. Epidemiology of extrapulmonary tuberculosis in the United States, 1993-2006. Clin Infect Dis 2009;49:1350-1357.
  • 14. Lin JN, Lai CH, Chen YH, et al. Risk factors for extra-pulmonary tuberculosis compared to pulmonary tuberculosis. Int J Tuberc Lung Dis 2009;13:620-625.
  • 15. Al-Jahdali H, Al-Zehrani K, Amene P, et al. Clinical aspects of miliary tuberculosis in Saudi adults. Int J Tuberc Lung Dis 2000;4:252-255.
  • 16. Mert A, Bilir M, Tabak F, et al. Miliary tuberculosis: clinical manifestations, diagnosis and outcome in 38 adults. Respirology 2001;6:217-234.
  • 17. Sharma SK, Mohan A, Sharma A, Mitra DK. Miliary tuberculosis: new insights into an old disease. Lancet Infect Dis 2005;5:415-430.
  • 18. Yasar K, Pehlivanoglu F, Sengoz A, Sengoz, G. Coexistence of advanced age and female gender in diabetics with extrapulmonary tuberculosis: four culture-proven cases. Gender Med 2011;8:334-338.
  • 19. Kaptan F. Tuberculous meningitis: Infeks Derg 2005;19:129- 138. (In Turkish, Abstract in English).
  • 20. Sant’Anna CC, Schmidt CM, Pombo March MFB, et al. Radiological findings of pulmonary tuberculosis in adolescents. Braz J Infect Dis 2011;15:40-44.
  • 21. Yasar KK, Pehlivanoglu F, Sengoz G, Ayrancioglu N. A case of tuberculous meningitis with multiple intracranial tuberculomas and miliary tuberculosis and choroid tubercles. Infection, 2011;39:395-396.

Can miliary tuberculosis be an indicator for tuberculous meningitis? Evaluation of the twenty-five adult cases with meningitis accompanied by miliary tuberculosis

Yıl 2016, Cilt: 6 Sayı: 2 - J Microbiol Infect Dis 2016; 06(02) June Issue, 74 - 79, 01.06.2016
https://doi.org/10.5799/jmid.328805

Öz

Objective: This study aimed to compare the characteristics of the tuberculous meningitis (TBM) patients with and without
miliary tuberculosis (TB).
Methods: Twenty-five patients with miliary TB of 160 patients with TBM were included in this retrospective study. Diagnosis
of TBM was based on anamnesis, clinical and laboratory results, neuroradioogical signs and “Thwaites’ Diagnostic
Index” while miliary TB was diagnosed by radiological imaging. Statistical analyses were performed using Chi-square
test.
Results: Of 25 patients with miliary TB, 14 were female and the median age was 35.3. Ages ranged between 20-35
and 17-78 years in male and female subjects, respectively. Most common symptoms at baseline were headache (84%),
malaise-anorexia (68%) and nausea-vomiting (64%) while the most common findings were nuchal stiffness (84%) and
fever (68%). The patients with miliary TB revealed longer symptom duration and higher rates of malaise-anorexia, night
sweats, weight loss and higher protein levels in CSF than the others (p<0.05).
Conclusion: Miliary TB could be an indicator for TBM in countries with high prevalence of TB. Female predominance,
longer symptom duration and higher protein levels in CSF were remarkable in the patients with TBM accompanied by
miliary TB. J Microbiol Infect Dis 2016;6(2): 74-79 

Kaynakça

  • 1. World Health Organization. Global Tuberculosis Database. Available from: http://www.who.int/research/en.
  • 2. Matsushima T. Miliary Tuberculosis or Disseminated Tuberculosis. Intern Med 2005; 44: 687.
  • 3. Sharma SK, Mohan A, Sharma A. Challenges in the diagnosis & treatment of miliary tuberculosis. Indian J Med Res 2012;135:703-730.
  • 4. Report of tuberculosis in year 2007 in Turkey. Turkish Ministry of Health, Department of Tuberculosis. Ankara, 2007.
  • 5. Yasar KK, Pehlivanoglu F, Sengoz G. Predictors of mortality in tuberculous meningitis: a multivariate analysis of 160 cases. Int J Tuberc Lung Dis 2010;14:1330-1335.
  • 6. Thwaites GE, Chau TT, Stepniewska K, et al. Diagnosis of adult tuberculous meningitis by use of clinical and laboratory features. Lancet 2002;360:1287-1292.
  • 7. Sunbul M, Atilla A, Esen S, et al. Thwaites’ diagnostic scoring and the prediction of tuberculous meningitis. Med Princ Pract 2005;14:151-154.
  • 8. Medical Research Council. Streptomycin treatment of tuberculous meningitis. Br Med J 1948;1:582-597.
  • 9. Mert A, Ozaras R. Clinical importance of miliary pattern in the chest X-Ray of a patient with fever of unknown origin. Intern Med 2005;44:161.
  • 10. Zuger A. Tuberculosis. In Scheld WM, Whitley RJ, Marra CM, editors. Infections of the Central Nervous System. PA: Lippincott Williams & Wilkins. 2004;441-459.
  • 11. Hosoglu S, Geyik MF, Balik I, et al. Predictors of outcome in patients with tuberculous meningitis. Int J Tuberc Lung Dis 2002;6:64-70.
  • 12. Sutlas PN, Unal A, Forta H, et al. Tuberculous meningitis in adults: review of 61 cases. Infection 2003;31:387-391.
  • 13. Peto HM, Pratt RH, Harrington TA, et al. Epidemiology of extrapulmonary tuberculosis in the United States, 1993-2006. Clin Infect Dis 2009;49:1350-1357.
  • 14. Lin JN, Lai CH, Chen YH, et al. Risk factors for extra-pulmonary tuberculosis compared to pulmonary tuberculosis. Int J Tuberc Lung Dis 2009;13:620-625.
  • 15. Al-Jahdali H, Al-Zehrani K, Amene P, et al. Clinical aspects of miliary tuberculosis in Saudi adults. Int J Tuberc Lung Dis 2000;4:252-255.
  • 16. Mert A, Bilir M, Tabak F, et al. Miliary tuberculosis: clinical manifestations, diagnosis and outcome in 38 adults. Respirology 2001;6:217-234.
  • 17. Sharma SK, Mohan A, Sharma A, Mitra DK. Miliary tuberculosis: new insights into an old disease. Lancet Infect Dis 2005;5:415-430.
  • 18. Yasar K, Pehlivanoglu F, Sengoz A, Sengoz, G. Coexistence of advanced age and female gender in diabetics with extrapulmonary tuberculosis: four culture-proven cases. Gender Med 2011;8:334-338.
  • 19. Kaptan F. Tuberculous meningitis: Infeks Derg 2005;19:129- 138. (In Turkish, Abstract in English).
  • 20. Sant’Anna CC, Schmidt CM, Pombo March MFB, et al. Radiological findings of pulmonary tuberculosis in adolescents. Braz J Infect Dis 2011;15:40-44.
  • 21. Yasar KK, Pehlivanoglu F, Sengoz G, Ayrancioglu N. A case of tuberculous meningitis with multiple intracranial tuberculomas and miliary tuberculosis and choroid tubercles. Infection, 2011;39:395-396.
Toplam 21 adet kaynakça vardır.

Ayrıntılar

Konular Sağlık Kurumları Yönetimi
Bölüm Makaleler
Yazarlar

Sevtap Gursoy Ahmed Kehribar Bu kişi benim

Yayımlanma Tarihi 1 Haziran 2016
Yayımlandığı Sayı Yıl 2016 Cilt: 6 Sayı: 2 - J Microbiol Infect Dis 2016; 06(02) June Issue

Kaynak Göster

APA Ahmed Kehribar, S. G. (2016). Can miliary tuberculosis be an indicator for tuberculous meningitis? Evaluation of the twenty-five adult cases with meningitis accompanied by miliary tuberculosis. Journal of Microbiology and Infectious Diseases, 6(2), 74-79. https://doi.org/10.5799/jmid.328805
AMA Ahmed Kehribar SG. Can miliary tuberculosis be an indicator for tuberculous meningitis? Evaluation of the twenty-five adult cases with meningitis accompanied by miliary tuberculosis. J Microbil Infect Dis. Haziran 2016;6(2):74-79. doi:10.5799/jmid.328805
Chicago Ahmed Kehribar, Sevtap Gursoy. “Can Miliary Tuberculosis Be an Indicator for Tuberculous Meningitis? Evaluation of the Twenty-Five Adult Cases With Meningitis Accompanied by Miliary Tuberculosis”. Journal of Microbiology and Infectious Diseases 6, sy. 2 (Haziran 2016): 74-79. https://doi.org/10.5799/jmid.328805.
EndNote Ahmed Kehribar SG (01 Haziran 2016) Can miliary tuberculosis be an indicator for tuberculous meningitis? Evaluation of the twenty-five adult cases with meningitis accompanied by miliary tuberculosis. Journal of Microbiology and Infectious Diseases 6 2 74–79.
IEEE S. G. Ahmed Kehribar, “Can miliary tuberculosis be an indicator for tuberculous meningitis? Evaluation of the twenty-five adult cases with meningitis accompanied by miliary tuberculosis”, J Microbil Infect Dis, c. 6, sy. 2, ss. 74–79, 2016, doi: 10.5799/jmid.328805.
ISNAD Ahmed Kehribar, Sevtap Gursoy. “Can Miliary Tuberculosis Be an Indicator for Tuberculous Meningitis? Evaluation of the Twenty-Five Adult Cases With Meningitis Accompanied by Miliary Tuberculosis”. Journal of Microbiology and Infectious Diseases 6/2 (Haziran 2016), 74-79. https://doi.org/10.5799/jmid.328805.
JAMA Ahmed Kehribar SG. Can miliary tuberculosis be an indicator for tuberculous meningitis? Evaluation of the twenty-five adult cases with meningitis accompanied by miliary tuberculosis. J Microbil Infect Dis. 2016;6:74–79.
MLA Ahmed Kehribar, Sevtap Gursoy. “Can Miliary Tuberculosis Be an Indicator for Tuberculous Meningitis? Evaluation of the Twenty-Five Adult Cases With Meningitis Accompanied by Miliary Tuberculosis”. Journal of Microbiology and Infectious Diseases, c. 6, sy. 2, 2016, ss. 74-79, doi:10.5799/jmid.328805.
Vancouver Ahmed Kehribar SG. Can miliary tuberculosis be an indicator for tuberculous meningitis? Evaluation of the twenty-five adult cases with meningitis accompanied by miliary tuberculosis. J Microbil Infect Dis. 2016;6(2):74-9.