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Neumología y cirugía de tórax
versão impressa ISSN 0028-3746
Resumo
PALACIOS-MARMOLEJO, Anastacio et al. Diagnostic the extrapulmonary tuberculosis by culture. Neumol. cir. torax [online]. 2017, vol.76, n.2, pp.84-90. ISSN 0028-3746.
Background:
Tuberculosis is an infectious-contagious disease, mainly caused by Mycobacterium tuberculosis, which can be manifested in pulmonary (PTB) in 85% of cases and the rest in extra pulmonary form (EPTB), currently it is a public health problem and the best laboratory diagnosis is the culture (standard reference for diagnosis).
Material and methods:
An observational and retrospective study was carried out, based on the isolation of M. tuberculosis, in extrapulmonary samples by culture using the BACTEC MGIT-960 equipment, as well as the identification and drug-sensitivity tests for each of the isolates.
Results:
654 samples were cultured, obtaining a positivity of 5.5% (36 isolations), 7 of them in patients younger than 15 years old and 3 in patients older than 60 years old, according to the organ/tissue affected: 30.6% skin, 27.8% renal, 11.1% thoracic cavity (except lung), digestive system and joints, respectively, and 8.3% CNS (central nervous system). From the total isolates of the M. tuberculosis complex includes a strain of M. bovis. Regarding the results of drug-sensitivity, 100% sensitivity was obtained for etambutol and rifampicin, 94.5% for isoniacin and 44.0% for pirazinamide.
Conclusions:
The importance of culture for the diagnosis and tests of drug-sensitivity in patients with suspected EPTB was demonstrated.
Palavras-chave : Culture; M. tuberculosis; drug sensitivity; extrapulmonary tuberculosis.