SPECTRUM OF EXTRA PULMONARY TUBERCULAR PATIENTS ATTENDING A TERTIARY CARE HOSPITAL

Abstract

Background: Extra pulmonary tuberculosis is increasing day by day. Even it has reversed the epidemiological trend of pulmonary tuberculosis. Over the last several years reported EPTB was increasing in absolute numbers and in proportion of all reported cases of tuberculosis, however similar studies from high burden Etawah district with high prevalence of HIV are lacking .Therefore, we have conducted this study to investigate clinical and pathological features of EPTB. Material & Method: The study was conducted on 925 clinically suspective tubercular patients who attended pathology department. They were compared in terms of age, sex, and site. Result: Out of the 925 clinically suspective extra pulmonary tubercular patients, 900 was diagnosed as EPTB patients. Females had higher proportion (51.77%) of EPTB than males (48.22%). EPTB was more common in young age (20-29) years in males, where as in females common in (40-49) years age group. Most common site was lymph node (58%) followed by Abdominal (13%) urogenital (13%)osteoarticular (12%), miliary (2%), CNS (1%) and skin(1%). Conclusion: Out data suggest that EPTB was relatively common in young age in males and in latter group in females gender. Lymph node tuberculosis was most common site in both males and females. Tuberculosis control programmed may targets these population for EPTB case finding.