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Article: High incidence of pulmonary tuberculosis in the non-HIV infected immunocompromised patients in Hong Kong

TitleHigh incidence of pulmonary tuberculosis in the non-HIV infected immunocompromised patients in Hong Kong
Authors
Issue Date1989
PublisherAmerican College of Chest Physicians. The Journal's web site is located at http://www.chestjournal.org
Citation
Chest, 1989, v. 96 n. 4, p. 835-839 How to Cite?
AbstractIn areas where tuberculosis is endemic, clinicians managing immunocompromised patients (ICP) are confronted with the possibility of Mycobacterium tuberculosis as a pathogen. To determine the incidence and clinical pattern of, the diagnostic approach to, and potential therapeutic implications of pulmonary tuberculosis in this patient population, we reviewed 62 non-HIV infected ICP in Hong Kong who had bronchoscopy because of pulmonary infiltrates. Pulmonary tuberculosis was the second most common cause after bacterial infections. Clinical and radiographic presentations of 12 patients with tuberculosis were nonspecific. Flexible bronchoscopy for tuberculosis carried a diagnostic sensitivity of 91.7 percent. We conclude that for the non-HIV infected ICP from areas where tuberculosis is endemic: M tuberculosis should be suspected as the pathogen; radiographic findings are diagnostically not helpful; FB is a sensitive diagnostic test for tuberculosis and in smear-negative cases where tuberculosis is suspected, initiation of empiric anti-tuberculosis therapy should be considered while awaiting culture results.
Persistent Identifierhttp://hdl.handle.net/10722/161783
ISSN
2015 Impact Factor: 5.94
2015 SCImago Journal Rankings: 3.176
ISI Accession Number ID

 

DC FieldValueLanguage
dc.contributor.authorChan, JCen_US
dc.contributor.authorSo, SYen_US
dc.contributor.authorLam, WKen_US
dc.contributor.authorIp, MSMen_US
dc.date.accessioned2012-09-05T05:14:55Z-
dc.date.available2012-09-05T05:14:55Z-
dc.date.issued1989en_US
dc.identifier.citationChest, 1989, v. 96 n. 4, p. 835-839en_US
dc.identifier.issn0012-3692en_US
dc.identifier.urihttp://hdl.handle.net/10722/161783-
dc.description.abstractIn areas where tuberculosis is endemic, clinicians managing immunocompromised patients (ICP) are confronted with the possibility of Mycobacterium tuberculosis as a pathogen. To determine the incidence and clinical pattern of, the diagnostic approach to, and potential therapeutic implications of pulmonary tuberculosis in this patient population, we reviewed 62 non-HIV infected ICP in Hong Kong who had bronchoscopy because of pulmonary infiltrates. Pulmonary tuberculosis was the second most common cause after bacterial infections. Clinical and radiographic presentations of 12 patients with tuberculosis were nonspecific. Flexible bronchoscopy for tuberculosis carried a diagnostic sensitivity of 91.7 percent. We conclude that for the non-HIV infected ICP from areas where tuberculosis is endemic: M tuberculosis should be suspected as the pathogen; radiographic findings are diagnostically not helpful; FB is a sensitive diagnostic test for tuberculosis and in smear-negative cases where tuberculosis is suspected, initiation of empiric anti-tuberculosis therapy should be considered while awaiting culture results.en_US
dc.languageengen_US
dc.publisherAmerican College of Chest Physicians. The Journal's web site is located at http://www.chestjournal.orgen_US
dc.relation.ispartofChesten_US
dc.subject.meshAdulten_US
dc.subject.meshBronchoscopyen_US
dc.subject.meshDiagnosis, Differentialen_US
dc.subject.meshFemaleen_US
dc.subject.meshHiv Seropositivityen_US
dc.subject.meshHong Kong - Epidemiologyen_US
dc.subject.meshHumansen_US
dc.subject.meshImmune Toleranceen_US
dc.subject.meshIncidenceen_US
dc.subject.meshMaleen_US
dc.subject.meshOpportunistic Infections - Etiologyen_US
dc.subject.meshTuberculosis, Pulmonary - Diagnosis - Epidemiologyen_US
dc.titleHigh incidence of pulmonary tuberculosis in the non-HIV infected immunocompromised patients in Hong Kongen_US
dc.typeArticleen_US
dc.identifier.emailIp, MSM:msmip@hku.hken_US
dc.identifier.authorityIp, MSM=rp00347en_US
dc.description.naturelink_to_subscribed_fulltexten_US
dc.identifier.doi10.1378/chest.96.4.835-
dc.identifier.pmid2791681-
dc.identifier.scopuseid_2-s2.0-0024414482en_US
dc.identifier.volume96en_US
dc.identifier.issue4en_US
dc.identifier.spage835en_US
dc.identifier.epage839en_US
dc.identifier.isiWOS:A1989AU99400030-
dc.publisher.placeUnited Statesen_US
dc.identifier.scopusauthoridChan, JC=23090202000en_US
dc.identifier.scopusauthoridSo, SY=7102397816en_US
dc.identifier.scopusauthoridLam, WK=7203021937en_US
dc.identifier.scopusauthoridIp, MSM=7102423259en_US

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