[CLINICAL ANALYSIS OF 115 PULMONARY TUBERCULOSIS PATIENTS WITH SPUTUM SMEAR-NEGATIVE].
Hironori UrugaShuhei MoriguchiYui TakahashiKazumasa OgawaRyoko MuraseShigeo HanadaAtsushi MiyamotoNasa MorokawaKazuma KishiPublished in: Kekkaku : [Tuberculosis] (2019)
[Methods] We retrospectively studied 115 con- secutive pulmonary tuberculosis patients whose sputum smear was .negative, diagnosed by positive culture and/or PCR of various samples, or positive QFT. [Results] The culture positive rate of tuberculosis by spu- tum, gastric aspirate, bronchoscopy, and computed tomogra- phy (CT)-guided needle biopsy samples was 55.7%, 45.6%, 73.2%, and 71.4%, respectively. In multivariate analysis, negative or unknown sputum PCR, negative or unknown gastric aspirate, and minimal spread of tuberculosis were risk factors for negative culture from both sputum and gas- tric aspirate. Sputum culture was positive in only one of the four patients with multi-drug resistant Mycobacterium tuberculosis. [Conclusion] Invasive diagnostic procedures such as fiber- optic bronchoscopy should be considered in patients with negative sputum PCR and minimal spread of tuberculosis.
Keyphrases
- pulmonary tuberculosis
- mycobacterium tuberculosis
- drug resistant
- end stage renal disease
- multidrug resistant
- newly diagnosed
- computed tomography
- prognostic factors
- acinetobacter baumannii
- ejection fraction
- chronic kidney disease
- emergency department
- peritoneal dialysis
- magnetic resonance
- human immunodeficiency virus
- patient reported outcomes
- carbon dioxide
- pet ct