diagnosis of tuberculosis review
Posted on October 8th, 2020Epididymal tuberculosis is a rare extrapulmonary form of tuberculosis that occurs in young adults (Surati, Suthar & Shah, 2012). You can also choose to receive updates via daily or weekly email digests. The funders had no role in study design, data collection and analysis, decision to publish, or preparation of the manuscript. Among the 47 cases, 41 (87.2%) were initially identified as epididymal tuberculosis and treated pre-operatively with rifampicin, isoniazid, pyrazinamide, and ethambutol for 2–4 weeks. In total, 73 reported cases of congenital tuberculosis published in Chinese and 19 patients with congenital tuberculosis admitted to West China Second University Hospital, Sichuan University, … Antibodies from Lymphocyte Secretion or Antibody in Lymphocyte Supernatant or ALS Assay is an immunological assay to detect active diseases like tuberculosis, cholera, typhoid etc. It is difficult to diagnose early-stage epididymal tuberculosis. Epididymal tumors are rare, accounting for about 0.9% of male reproductive system tumors. Epididymal fine needle biopsy is a good method for the diagnosis of epididymal tuberculosis. Macroscopically, all specimens contained solitary or confluent pale, grayish caseous necrotic nodules. It is often possible to make a clear diagnosis by examining for acid-fast bacilli in samples of the ruptured tissue through pus or secretion smears. Recently, ALS assay nods the scientific community as it is rapidly used for diagnosis of tuberculosis. Typos, corrections needed, missing information, abuse, etc. Chest imaging was positive in eight patients (17.0%). This study is a retrospective data analysis of 47 cases of histologically-confirmed epididymal tuberculosis in patients treated at our hospital from November 2012 to December 2018. Patients with bacterial epididymitis often have testicular-epididymis pain and scrotal swelling and heat (Banyra & Shulyak, 2012). The following information was supplied relating to ethical approvals (i.e., approving body and any reference numbers): The Ethics Committee of Lanzhou University Second Hospital granted approval to carry out the study within its facilities (Number: 2019A-079). no more than one email per day or week based on your preferences. When epididymal tuberculosis manifests bead-like changes, testicular involvement, or sinus formation, good results can be achieved with definitive epididymal-testicular surgery. You can add specific subject areas through your profile settings. The following information was supplied regarding data availability: This paper is supported by Cuiying Scientific and Technology Innovation Program of Lanzhou University Second Hospital (No. The presentation of tuberculosis is increasingly atypical.
The number of tuberculosis patients in China accounted for 10–12% of the total number of tuberculosis patients in the world, ranking second in the world (Glaziou, Floyd & Raviglione, 2018; Zhang et al., 2016). Li Yang conceived and designed the experiments, authored or reviewed drafts of the paper, approved the final draft. The lesions of epididymal tuberculosis gradually invade the body to the head, finally affecting the entire epididymis. All patients had evidence of surgical treatment of the lesion. Our objective was to summarize the current experience of the diagnosis and treatment of patients with congenital tuberculosis. Reproductive system tuberculosis can occur in any age, mainly in men 30–50 years old.
Note: You are now also subscribed to the subject areas of this publication Epididymal tuberculosis remains an important health problem in many developing countries, including China (Kulchavenya et al., 2012). All patients underwent postoperative chemotherapy for 3–6 months. The authors declare that they have no competing interests. Epididymal tuberculosis is likely to have invaded surrounding tissues when signs such as epididymal beaded changes and ill-defined epididymis-testis border are present.
The epididymal lesion location was left-sided in 15 patients (31.9%), right-sided in 22 patients (46.8%) and bilateral in 10 patients (21.3%). However, at present, the diagnosis of simple epididymal tuberculosis is difficult and there is no preoperative diagnostic method with high sensitivity and specificity.
Urinalysis and chest imaging were performed in all patients. The average age of the patients was approximately 42 years. Patients with this disease may have no obvious clinical symptoms or only mild symptoms. Here we review the merits and deficiencies of the serological tests for TB. People in Gansu Province of China have a high incidence of tuberculosis and are relatively delayed in seeking medical care (Zhang et al., 2016). Epididymal tuberculosis, like other tuberculosis diseases, requires early, regular, full-course, moderate, combined anti-tuberculosis treatment. Traditionally, the appearance of so-called sterile pyuria on microscopic urinalysis is considered to be a typical manifestation of urogenital involvement. Some finds reported that leukocytes in urine were present microscopically or grossly in a majority of cases (50% and 10%, respectively). Hematuria is a common symptom of urinary tuberculosis, which is mainly caused by renal tuberculosis and bladder tuberculosis Hematuria and acidic urine have been associated with urinary tuberculosis, but they are nonspecific findings. Kim et al. Zhilong Dong analyzed the data, prepared figures and/or tables, approved the final draft. CT helps to confirm the diagnosis. Twenty-six patients (55.3%) had epididymectomy and 21 patients (44.7%) had epididymectomy combined with orchiectomy, and all recovered well after surgery. "Following" is like subscribing to any updates related to a publication.
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