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Acute Encephalomyelitis due to Treatment for Tuberculous Meningitis

Michel Ferreira Machado*; Karen Andrade Norremose; Renan Barros Domingues

    Tuberculous meningitis develops when granulomas formed by bacillus release their content in the subarachoid space, triggering an inflammatory activity. After beginning treatment with anti-tuberculosis drugs, some patients may have a paradoxical reaction which has different clinical manifestations. Here we present a case of a severe acute encephalomyelitis. A 38-years-old female presented with refractory headache.


A rare combination of cavitating miliary tuberculosis and multiple brain tuberculomas in an infant

Bhanu Prakash J; Vinod H Ratageri*; S R Fattepur

    Cavitatory pulmonary tuberculosis is a rare entity in children especially in infants. Tuberculomas in brain is rarer in infants and children. Concurrent occurrence of multiple brain tuberculomas and miliary tuberculosis with cavitatory pulmonary tuberculosis is an extremely rare phenomenon. We present an infant with these rarities.


Regional, chronologic and international comparisons of relative morbidity and mortality caused by tuberculosis and some other diseases: Age-related patterns and gender differences

Viktor I Goudochnikov

    The present article describes epidemiologic indices for tuberculosis and some other infectious and cardiometabolic disorders, performing regional and chronologic comparisons in Southern region of Brazil, as well as international comparisons with Chile. The data obtained show that at least in populations studied, tuberculosis and HIV/AIDS are disorders belonging to intermediate age categories with male predominance, in contrast to septicemia and cardiometabolic diseases. It is suggested that partially tuberculosis may be a consequence of HIV / AIDS.


Economic impact of the implementation of a fixed dose combination treatment for Tuberculosis in Mexico

Jorge González-Canudas*; Jesús Felipe González-Roldán; Martín Castellanos-Joya; Yulia Romero-Antonio; Aarón Molina-Pérez; Juan Gabriel Gay-Molina

    Objective: To compare the cost-effectiveness of 2 treatment schemes for tuberculosis in Mexico, before and after the implementation of fixed-dose combination (FDC).
Material and methods: Model of economic evaluation based on information posted for 2014 cohort. The results and costs of drugs in both scenarios (1 = prior to 2006, single tablets; 2 = after to 2006, FDC) were evaluated using a decision tree model.


Association of BoLA-DRB3.2 gene polymorphism with Tuberculosis susceptibility of dairy cattle in Chinese Holstein cattle

Xiaolin Zheng; Bo Qin; Qinglu Wang L; Youtao Wang; Qishun Liao; Jinling Zheng; Guodong Dong; Yifang Zhang; Xianwei Shi*; Jun Chai*

    Purpose: Bovine Lymphocyte Antigen-DRB3.2 (BoLA-DRB3.2), plays a critical role in immunologic function. This study focuses on the variations of BoLA-DRB3.2 Gene in Chinese Holstein of dairy cattle and their relationship to tuberculosis susceptibility.


Assessment of the quality of life in patients with pulmonary tuberculosis in the pulmonology department of Fann hospital in Dakar

Mbaye FBR*; Dia S; Thiam Khady; Cissé MF; Mouandilmadji MD; Kane YD; Ndiaye EM; Sagne JMAN; Ka W; Ndao M; Soumaré M; Ka TN; Touré NO

    Purpose:Tuberculosis (TB) still constitutes a major public health challenge due to its high mortality and morbidity rates [1]. In 2017, 10.4 million people contracted the disease and 1.8 million died from it. More than 95% of tuberculosis deaths occur in low and middle income countries...


Tubercular cerebellar abscess: A case report from a tertiary care centre, Hyderabad, Telangana state

Swathi Akula*; Rajkumar HRV

    Abscesses that are enclosed within the bony cage of the skull or spinal column can expand to compress the brain or spinal cord and cause severe symptoms, permanent complications, or even death. Prompt diagnosis and proper treatment can avert complications and achieve cure in many cases. Tuberculosis is one of the rare cause of the brain abscess. Both the diagnosis and management of abscess..


Prevalence and predictors of Tuberculosis among diabetes patients in Nigeria; A multicentre study

Joseph Chukwu; Ngozi Ekeke; Charles Nwafor; Elias Aniwada*; Eruke Egbagbe; Andrew Edo; Ekenechukwu Young; Miriam Ajuba; Ngozi Murphy-Okpala; Adesina; Adenike Enikuomeyin; Abiodun Hassan

    Objective: This study aimed to ascertain the prevalence of TB among DM patients as well as factors influencing the co-morbidity. Methods: A cross-sectional study was conducted under routine programme settings in ten purposively selected health facilities in 6 states in southern Nigeria in 2018. Over a period of six months, all diagnosed DM cases aged ≥18years who attended the clinics were progressively screened for tuberculosis.


Tuberculous cervical lymphadenitis: A retrospective cohort study of 632 cases

Poras Chaudhary*; Bindiya Chaudhary; Amrit kumar gupta; Pute u losu; Romesh Lal

    Introduction: With 20% cases, India accounts for the highest tuberculosis burden in the world. Tuberculous lymphadenitis is the most common form of extrapulmonary tuberculosis in India. Aim of this study is to present our experience on tuberculous cervical lymphadenitis.


Miliary tuberculosis complicating intravesical BCG therapy

Ben Bdira Baraa*; Gargouri Imen; Hayouni Marouen; Benzarti Wafa; Aissa Sana; Hayouni Abdelaziz; Abdelghani Ahmed; Garrouch Abdelhamid; Benzarti Mohamed

    In April 2018, a 63-year-old patient was admitted due to general fatigue, dyspnea and continuous pyrexia. He was previously treated for several weeks with intravesical BCG for a bladder carcinoma. Chest computed tomography scan revealed bilateral miliary nodules. Microbiological findings including acid fast staining and urine cultures were all negative...


Cellular trafficking of nanocarriers in alveolar macrophages for effective management of pulmonary tuberculosis

Vipul A Sansare*; Deepa U Warrier; Ujwala A Shinde

   The aim of the present study was to design mannose anchored rifampicin nanostructured lipid carrier for active targeted drug delivery to alveolar macrophages. Targeting ligand, N-octadecyl-mannopyranosylamine was synthesized and characterized. Rifampicin loaded nanostructured lipid carriers were composed of stearic acid, oleic acid and targeting ligand and were prepared by melt homogenization ultrasonication.


Effect of Isoniazid Preventive Therapy on Tuberculosis Prevalence among HIV Patients Attending Bahati Comprehensive Care Centre, Nairobi, Kenya

Lucy Obonyo Nyang’au*; Evans Amukoye; Stanley Kangethe; Jackson Onyuka

   Worldwide tuberculosis was top ten cause of death alongside, Human Immunodeficiency Virus (HIV) in 2018; 10.0 million people became ill with tuberculosis with 1.2 million deaths occurring among HIV negative people while an additional 251,000 were HIV positive. Isoniazid preventive therapy (IPT), intensified case finding, and infection control have been widely recommended to reduce the burden of TB in people living with Human Immunodeficiency Virus (PLHIV).


False Positive Rifampicin Resistance among HIV Patients attending Bahati Comprehensive Care Centre, Nairobi, Kenya

Lucy Obonyo Nyang’au*; Evans Amukoye; Stanley Kangethe; Jackson Onyuka

   Tuberculosis is a chronic airborne and infectious disease which remains a leading cause of death in people living with Human Immunodeficiency Virus (HIV). Globally in 2018, there were 251,000 documented cases of death in HIV positive people. Timely diagnosis of tuberculosis and detection of drug resistance to TB drugs in such patients remains a challenge because of non specific presentation and disseminated nature of the disease.


Blinded Rechecking of AFB Smear Microscopy Performance in Selected Private Health Facilities in Tigray, Northern Ethiopia

Letebrhan Weldemhret

   Direct sputum smear microscopy remains the most cost-effective tool for tuberculosis diagnosis and treatment monitoring in resource constrained settings. Random blinded rechecking is a reliable tool to measure and improve smear microscopy. So, this study was intended to assess random blinded rechecking of AFB smear microscopy performance in selected private health facilities in Tigray region, Northern Ethiopia.


Tuberculosis Bug Everywhere in the Urinary Tract (Miliary Stricture) Resulting in a Rare Case of Obstructive Uropathy: A Case report

Abdul Rouf Khawaja, MS, DNB*; Yasir Dar, MS, DNB; Ajaz Koul, MD, MRCP; Manzoor Dar, MS, Mch; Muzzain Khateeb, MS, Mch; Arif Hamid Bhat, MS, Mch; Mohd Saleem Wani, MS, Mch

   Genitourinary Tuberculosis (GUTB) is the second most common form of extrapulmonary TB after lymph nodes. Extensive tubercular involvement of urinary tract may lead to auto-nephrectomy, pan-ureteral strictures, thimble bladder and rarely urethral strictures or a combination of these. Management of cases with involvement of multiple strictures at multiple sites is challenging.


WHO Short Course Regime for MDR TB – A Double Edged Sword?

Amit Sharma

    India has the dubious distinction of being the country with the highest quantum of multidrug-resistant (MDR) tuberculosis (TB) cases worldwide. The World Health Organization (WHO) in 2016 recommended a shorter drug regimen for patients with MDR TB or Rifampin(R) resistant TB who had no past history of receiving second-line drugs (SLDs) and in whom resistance to fluoroquinolones (FQ) and Second Line Injectables (SLI) has been ruled out or was considered highly unlikely.


A Comparative Study of Conventional Methods and GeneXpert Mycobacterium Tuberculosis Rifampicin (MTB/RIF) Assay for Diagnosis of Childhood Pulmonary Tuberculosis

Allah Rakhia*; Taj Muhammad Laghari; Muhammad Ayaz Mustufa; Yahya Noori; Rahila Bhutto; Zaheer Ali

    Keeping in view, the peculiar attributes like similarity of symptoms with other respiratory diseases, Paucibacillary nature and inability of children to expectorate which make diagnosis of Pediatric Tuberculosis (TB) challenging, a study was conducted to find best available choices of diagnostic tests for early case detection of childhood TB particularly MDR TB.


Morbid Anatomy of Patients with Mycobacterial Infections, A Cross Sectional Autopsy Study at a Tertiary Hospital in a High Disease Burden Setting

Dan Wamala*; Gunilla Kallenius; Moses Joloba

   Tuberculosis is a major cause of morbidity and mortality globally. Infections caused by different mycobacteria can be clinically indistinguishable but the differences in their pathological features and mortality are unclear. To evaluate the contribution of different mycobacterial pathogens to lethal mycobacterial disease and assess subsequent pathological features, we performed autopsies of 49 patients with suspected TB.


Acute Encephalomyelitis due to Treatment for Tuberculous Meningitis

Michel Ferreira Machado*; Karen Andrade Norremose; Renan Barros Domingues

    Tuberculous meningitis develops when granulomas formed by bacillus release their content in the subarachoid space, triggering an inflammatory activity. After beginning treatment with anti-tuberculosis drugs, some patients may have a paradoxical reaction which has different clinical manifestations. Here we present a case of a severe acute encephalomyelitis. A 38-years-old female presented with refractory headache. CSF analysis of admission showed 235 cel/mm3 (85% lymphocytes) and glucose 5 mg/dl.


Decontamination Method for Tuberculosis: A Review

Gaurav verma*; Priyanka kashyap

    Tuberculosis is a communicable disease spread from one person to another; it is caused by Mycobacterium tuberculosis. It’s a very dangerous bacterial infection liable for severe increase in death cases. It’s a chronic granulomatous infectious disease. Infection happens via aerosol and inhalation of some droplets containing mycobacteria bacilli. The disease also affects animals like cattle; this is often referred to as bovine tuberculosis, which can sometimes be communicated to man...


Seven-Year Survival and Prognostic Factors for Pulmonary Tuberculosis Patients at Tertiary Care Centers in Kedah, Malaysia

Ibtisam Ismail*; Mohd Azri Mohd Suan; Shahrul Aiman Soelar; Huan Keat Chan; Muhammad Radzi Abu Hassan

    Objective: Tuberculosis (TB) is a major public health concern globally. This study aimed to evaluate the survival and the prognostic factors of TB patients after the diagnosis of TB at two tertiary centers in Kedah, Malaysia.
Methods: This was a retrospective cohort study conducted at the two public tertiary centers. All adult patients above 18 years who were first clinically diagnosed with TB and hospitalized between January 2008 and December 2011 were included...


Tuberculosis in a Cross-Border Hospital During Covid-19: Does a Pandemic Modifies Another Pandemic?

Emma Navarro Guerrero; Estela Peiteado Valderrama; Carmen Maria Gonzalez-Domenech; Isabel Ascension Perez-Hernandez*

    Due to the COVID-19 pandemic, borders were closed in March 2020 to alleviate the health crisis and prevent further transmission and impact at the international level. This not only had economic consequences, but in border cities such as Melilla (Spain) the implications were also social. Under this situation, humanitarian settlements were created for people who could not return to their places of origin in Morocco...


Miliary Tuberculosis with Severe Pneumonia without Abnormal Chest Sounds in a Covid-19 Pandemic

Atana Uket Ewa*; Glory Ekpo Bassey; Ubong Aniefiok Udoh; Enobong Ufot Akpah; Kingsley Chidi Anachuna; Bassey Ewa Ekeng*

    Tuberculosis (TB) is a common cause of deaths in children in developing countries and TB endemic regions. Miliary TB accounts for 5% of the cases and represents disseminated TB with miliary shadows on Chest X- Ray (CXR). It occurs mainly in infants and children with non-specific features and a high mortality rate despite available treatment. BCG vaccination tends to protect against the disease and reduce its incidence...


Gonadal Outcome Following Testicular Tuberculosis: A Case Report and Review of the Literature

Dibingue Clehaude; Abdi El Moustapha*; Al Afifi Mahmoud; Gallouo Messian; Moataz Amine; Dakir Mohamed; Debbagh Adil; Aboutaieb Rachid

    The WHO classifies urogenital tuberculosis as a severe type of TB that can be complicated by serious functional sequelae and occasionally necessitates surgical treatment. We provide a clinical case of a purulent right testicular TB melt managed by a right Orchidectomy and continued anti-tuberculosis medication, with a successful outcome (clinical and paraclinical with normal scrotal ultrasound as well as spermogram)...


Virtual Screening of Phytochemicals for Anti - Tubercular Potential Using Molecular Docking Approach

Geetika Preman; Muskaan Mulani; Ayesha Bare; Khushboo Relan; Leebah Sayyed; Vikas Jha; Kavita Pandey*

    Tuberculosis (TB) is a curable illness, caused by, Mycobacterium Tuberculosis (Mtb), is still significant. Technological progress in TB treatment has been limited. The major therapeutic technique to treat the condition is first line anti-tuberculosis drugs (A fixed-dose, single-tablet combination of four drugs: Rifampin, isoniazid, pyrazinamide, and ethambutol) with almost an efficacy of 95% in susceptible individuals...


COVID-19 Vaccination can Aid in the Eradication of Tuberculosis

Zafran Khan*; Daniya Ualiyeva#; Irfan Ullah; Obed Boadi Amissah; Khalid Jamal

    Despite the ongoing efforts of the End Tb strategy by the United Nations Sustainable Development Goals (UNSDG) by 2025, Tuberculosis (TB) was regarded as one of the most problematic infectious disease of international concern prior to the advent of Coronavirus Disease 2019 (COVID-19). The global TB report for 2021 emphasizes that we stand at a road...


Mycobacteriophages as a Modern Medicine to Treat Tuberculosis: Hope or Illusion?

Zafran Khan*; Daniya Ualiyeva

    The upsurge of Antimicrobial Resistance (AMR) has reignited interest in bacteriophages as an alternative to antibiotics. M. tuberculosis is genetically not diverse, and standard phages do not yet target it The genome of human-adapted M. tuberculosis is substantially smaller than that of its environmental progenitors...


Mastic Disease: A Sequel of Renal Tuberculosis

Halfi Mohamed Ismail*; El Houss Salma; Benhadi Oumaima; Laamrani Fatima Zahra

    A 27-year-old male presented with lower back pain, dysuria, fatigue, night sweats, fever, and substantial weight loss during the preceding months. His medical history includes pulmonary tuberculosis. A CT scan was ordered to rule out some usual causes of renal colic, namely nephrolithiasis. ...


Clinico-Demographic Profile of Drug Induced Hepatitis Patients on First Line Anti Tuberculosis Treatment in New Delhi

Rishi Kant Aharwal*; Vikram Vohra; Amit K Mehto

    Background: Drug Induced Hepatitis (DIH) is a serious adverse effect caused by Anti-Tubercular (ATT) drugs. The prevalence of DIH is much higher in developing countries owing to a higher prevalence of pre-existing chronic illnesses like acute or chronic liver disease and viral hepatitis; alcoholism; malnutrition; indiscriminate drug use; and a higher prevalence of advanced and drug-resistant TB requiring long-term treatment. ...


Contribution of Quantiferon TB Gold in Tube to the Diagnosis of Tuberculous Pleurisy: A Monocentric Prospective Study

Rachida Yahiaoui-Sidi Said; Abdelbassat Ketfi*; Fethi Meçabih; Djennette Hakem; Nadjia Ramdani; Rabah Amrane

    The diagnosis of tuberculous pleurisy remains difficult because of its paucibacillary character. Several authors have studied the usefulness of IGRAs in the early diagnosis of tuberculous pleurisy, whereas these tests are designed for the detection of latent tuberculosis infection. ...


Intersecting Challenges: TB and Mental Health among Refugees in India

Ilham Zaidi*

    India has experienced a notable surge in refugee populations from neighboring states, driven by conflicts, persecution, and natural disasters. Residing in temporary settlements, these refugees face a myriad of health challenges, including a heightened susceptibility to Tuberculosis (TB) infection. ...


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