The results of lobectomy and pneumonectomy in treating various benign and malignant lesions of lung have been reported.
The complications and results of such procedures in the presence of pulmonary tuberculosis (TB) have been described in older texts.
However these reports have lessened due to the decrease in the number of patients seen over the last decades. Thus, it's not clear that to
what extent the advancements seen in surgical and anesthetic procedures were effective in lessening the complications of such procedures.
Extrapulmonary organ involvement in human immunodefiaency virus (HIV)-infected
patients with pulmonary tuberculosis (TB) is reported to be 26%, however, the
clinical predictors of extrapulmonary involvement in pulmonary TB patients has not
been reported yet. We tried to determine the clinical predictors of presence of extrapulmonary
involvement in patients with pulmonary TB. Cross-sectional study was
performed including all adult patients with culture-proven pulmonary TB diagnosed
between January 1, 2004 and July 30, 2006, at a tertiary referral hospital in South
Bronchogenic carcinoma can mimic or be masked by pulmonary
tuberculosis (TB), and the aim of this study was to describe the radiologic findings
and clinical significance of bronchogenic carcinoma and pulmonary TB which
coexist in the same lobe.
Materials and Methods: The findings of 51 patients (48 males and three
females, aged 48-79 years) in whom pulmonary TB and bronchogenic carcinoma
coexisted in the same lobe were analyzed.
Study design & area: This is a descriptive
epidemiological study in which HCWs such as doctors,
nurses, radiographers, laboratory scientists, laboratory
assistants, ward maids and students who were involved
in the management of TB patients were screened for
pulmonary TB (PTB).
The study was carried out at the two designated
DOTS centers, the University College Hospital (UCH),
Ibadan, a tertiary health care facility and Jericho Chest
Hospital (JCH) which serves as a referral secondary
health care center.
The two health institutions are located within Ibadan
Despite the availability of standard instruments for evaluating health-related quality life (HRQoL), the
feasibility, reliability, and validity of such instruments among tuberculosis (TB) patients in different populations of
sub-Saharan Africa where TB burden is of concern, is still lacking.
Objective: We established the feasibility, reliability, and validity of the Medical Outcomes Survey (MOS) in assessing
HRQoL among patients with pulmonary tuberculosis in Kampala, Uganda.
Introduction: Early identification of Tuberculosis (TB) treatment failure using cost effective means is urgently needed in
developing nations. The study set out to describe affordable predictors of TB treatment failure in an African setting.
Objective: To determine the predictors of treatment failure among patients with sputum smear positive pulmonary TB
at Mulago hospital. The study was carried out in the TB clinic of Mulago hospital Kampala, Uganda.
Inclusion and exclusion criteria: Patients were eligible for enrollment in the study if they were aged 18 yr or more, had newly diagnosed pulmonary TB, had no history of previous treatment for TB, had knowledge of their HIV status, resided within 20 km of study site, assessed to be cooperative and willing for DOTS therapy as judged by counselor, had no major complications of HIV disease like encephalopathy, renal or hepatic disease, malignancy or any end stage disease and did not have any medical condition that might interfere with the management of the pulmonary tuberculosis like diabetes,...
We newly identified an association between the haplotype [A-G-(insertion)-T] and susceptibility to
pulmonary TB (p = 0.006, false discovery rate q = 0.072). TB patients with systemic symptoms had a lower -196 to
-174 deletion/deletion genotype frequency than those without systemic symptoms (5.7% vs. 17.7%; p = 0.01). TB
patients with the deletion/deletion genotype had higher blood NK cell counts than those carrying the insertion
allele (526 vs. 243.5 cells/μl, p = 0.009). TB patients with pleuritis had a higher 1350 CC genotype frequency than
those without pleuritis (12.5% vs. 2.
Zambia continues to grapple with a high tuberculosis (TB) burden despite a long running Directly
Observed Treatment Short course programme. Understanding issues that affect patient adherence to treatment
programme is an important component in implementation of a successful TB control programme. We set out to
investigate pulmonary TB patient’s attitudes to seek health care, assess the care received from government health
care centres based on TB patients’ reports, and to seek associations with patient adherence to TB treatment
Tuberculosis (TB) remains a public health issue worldwide. The lack of specific clinical symptoms to
diagnose TB makes the correct decision to admit patients to respiratory isolation a difficult task for the clinician.
Isolation of patients without the disease is common and increases health costs. Decision models for the diagnosis
of TB in patients attending hospitals can increase the quality of care and decrease costs, without the risk of hospital
Nucleic acid amplification tests (NAATs) have offered hope for rapid diagnosis of tuberculosis (TB).
However, their efficiency with smear-negative samples has not been widely studied in low income settings. Here,
we evaluated in-house PCR assay for diagnosis of smear-negative TB using Lowenstein-Jensen (LJ) culture as the
baseline test. Two hundred and five pulmonary TB (PTB) suspects with smear-negative sputum samples, admitted
on a short stay emergency ward at Mulago Hospital in Kampala, Uganda, were enrolled.
Extra-pulmonary tuberculosis (EPTB) is a
milder form of disease in terms of infectivity as
compared to pulmonary TB (PTB). Whereas sputum
can be easily obtained for the detection of disease in
lungs, diagnosis of EPTB is often difficult requiring
invasive and expensive serological/radiological
investigations. A category-wise drug treatment is
similar for the two forms of disease1. However, an
assessment of end point of cure is a problem with
Sputum examination is a key diagnostic procedure
for patients suspected of having pulmonary TB,
including those for whom bronchoscopy is planned.1,2
In addition, early identification of persons with TB
remains the most effective way of preventing TB
transmission. However, some patients are unable to
produce sputum for examination. In such cases,
sputum induction by aerosol inhalation and/or
gastric aspiration has been preferred.
The indications for these surgical procedures were: recurrent hemoptysis
(24 cases), massive hemoptysis (4 cases), multi drug resistant TB (4 cases), bronchiectasis and recurrent infection (2 cases), and right
bronchial stenosis (1 case). In two of the patients the indication for surgery was intra-bronchial carcinoid tumour. Lymph node biopsies
obtained during the surgery showed pathological changes of TB.
All the necessary
information and data were collected from both medical records of the patients and special questionnaires that were designed by our staff in
1996 for this purpose. Statistical analysis was carried out descriptively by using frequency and percentage. Presence of TB in the patients
was confirmed by identifying the microorganism in the tissues detecting pathological changes in favour of TB and/or having past history of
pulmonary TB associated with its anatomical complications such as cavitation, bronchiectasis, and bronchial stenosis.
The success of the concert was clearly monumental – MTV donated millions of dollars’
worth of free airtime, and PSI was able to air PSAs across the globe that encouraged
healthy behavior and empowerment. To many, Roberts and her team had opened the
door for large-scale partnerships with alternative audiences for PSI; it was uncharted
territory for the organization but proved to be successful in illuminating the YouthAIDS
brand and PSI’s work.
As YouthAIDS took off, it attracted donations from a wide variety of sources, large and
An FMI should effectively measure, monitor, and manage its credit exposures to participants
and those arising from its payment, clearing, and settlement processes. An FMI should
maintain sufficient financial resources to cover its credit exposure to each participant fully
with a high degree of confidence.
his plan sets the course toward realizing a healthy, prosperous,
and resilient future for our city. It calls on us all to rise to the
challenge of transforming our community to create a better life
for future generations.
As with other cities around the world, Vancouver faces challenges
that call for decisive action and innovation, and every resident and
business will play a crucial role in helping us, as a community, to
reach our goals.