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Koga Y.,Medicine Shin Koga Hospital | Tominaga M.,Medicine Shin Koga Hospital | Nouno T.,Medicine Shin Koga Hospital | Sanada H.,Medicine Shin Koga Hospital | And 6 more authors.
Japanese Journal of Chest Diseases | Year: 2015

We examined 103 tuberculous patients diagnosed between February 2007 and October 2012 at our hospital. Seventy-four patients were diagnosed with pulmonary tuberculosis, and 26 patients had tuberculous pleurisy. The majority of these patients were senile. Cough, night sweating, and fever were the most common symptoms observed; however, 22% of patients showed no symptoms. The most common risk factors were being over 85 years old, being malnourished, and having diabetes mellitus. The rates of positive acid-fast smears, cultures, and Mycobacterium tuberculosis polymerase chain reaction assays for pleural effusion were low in the tuberculous pleurisy patients; however, the rate of tissue culture positivity was high (83%). A patient-related delay was observed in patients who ranged in age from 0 to 40 years (including those patients who were foreign nationals) I however a doctor-related delay was seen in those over 81 years.

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