RESUMO
Se analiza la TBC génitourinaria en la ciudad de Arica desde 1991 al año 2002. Se encuentran 43 casos, con predominio sexo femenino, etnia Aymará. El diagnóstico fue sospechado por las molestias urinarias y hematuria. La pielografía endovenosa fue de utilidad en la sospecha. El examen directo y cultivo permitieron iniciar el tratamiento con buena tolerancia y un sólo abandono. Fueron sometidos a cirugía, el 25,6 porciento de los enfermos. Se comenta los resultados, comparándolos con estudio efectuado en el sur deChile.
Assuntos
Humanos , Masculino , Adolescente , Adulto , Feminino , Pessoa de Meia-Idade , Chile/epidemiologia , Tuberculose Urogenital/epidemiologia , Indígenas Sul-Americanos , População Rural/estatística & dados numéricos , População Urbana/estatística & dados numéricos , Estudos Retrospectivos , Tuberculose Urogenital/cirurgia , Tuberculose Urogenital/etnologia , Tuberculose Urogenital , UrografiaRESUMO
In South East England, genitourinary (GU) tuberculosis is a much less common manifestation of non-respiratory tuberculosis in patients of Indian subcontinent (ISC) ethnic origin than in those of European ethnic origin. When considered in relation to all bacteriologically confirmed cases of tuberculosis, both respiratory and non-respiratory, the ethnic difference in the occurrence of GU tuberculosis is much less evident, while there is a highly significant excess of other forms of non-respiratory tuberculosis among the ethnic ISC patients. Unlike other forms of non-respiratory tuberculosis, GU disease tends to occur in an older age range in the ethnic ISC population and, when stratified for age, the ethnic difference in the occurrence of this form of tuberculosis is not significant while that of lymph node tuberculosis remains significantly high. Thus, after elimination of the confounding factor of age, the occurrence of GU tuberculosis is very similar in the two ethnic groups while other forms of non-respiratory tuberculosis differ considerably.
Assuntos
Tuberculose Urogenital/etnologia , Tuberculose Urogenital/epidemiologia , Tuberculose/etnologia , Tuberculose/epidemiologia , Adulto , Inglaterra/epidemiologia , Europa (Continente)/etnologia , Feminino , Humanos , Incidência , Índia/etnologia , Masculino , Mycobacterium tuberculosis/isolamento & purificação , Tuberculose dos Linfonodos/epidemiologiaRESUMO
Extrapulmonary tuberculosis accounted for 33% of all new cases of tuberculosis identified at the Soroka Medical Center in Beer Sheva, Israel, during a 10-year period. The most common types of extrapulmonary infection diagnosed were genitourinary tuberculosis (54% of patients), lymphadenitis (13%), pleural tuberculosis (9%), and tuberculosis of bones and joints (8%). Of 92 patients, 51% were Jews of Ethiopian origin, 29% were Jews of non-Ethiopian origin, and 20% were Bedouins. Thus, extrapulmonary tuberculosis remains a significant problem for Israel's heterogeneous population.
