Imaging of Renal Tuberculosis in Eastern Taiwan: Correlation with Clinical Course and Different Communities

التفاصيل البيبلوغرافية
العنوان: Imaging of Renal Tuberculosis in Eastern Taiwan: Correlation with Clinical Course and Different Communities
المؤلفون: Chang-Ming Ling, Chien-Tai Lu, Chau-Chin Lee, Pao-Sheng Yen, Pau-Nyen Chang, Sea-Kiat Lee, Ting-Kai Leung, Shou-Bin Chou
المصدر: Kaohsiung Journal of Medical Sciences, Vol 19, Iss 6, Pp 271-276 (2003)
بيانات النشر: Elsevier BV, 2003.
سنة النشر: 2003
مصطلحات موضوعية: medicine.medical_specialty, Tomography Scanners, X-Ray Computed, Referral, Population, Ethnic group, Antitubercular Agents, Taiwan, Disease, renal tuberculosis, eastern Taiwan, Ureter, Internal medicine, Biopsy, medicine, Ethnicity, Humans, Tuberculosis, Renal, renal TB, education, Retrospective Studies, Medicine(all), education.field_of_study, lcsh:R5-920, medicine.diagnostic_test, business.industry, General Medicine, Surgery, Regimen, medicine.anatomical_structure, Health education, business, lcsh:Medicine (General), aborigine, Magnetic Resonance Angiography
الوصف: Hualien, located in eastern Taiwan, is a relatively isolated district. The population is composed of different ethnic communities. Our hospital is the only medical center in eastern Taiwan, so is the most important referral hospital for epidemic diseases. After reviewing our collected cases of renal tuberculosis (TB), we observed a great diversity in staging and outcomes. The aim of this study was to classify different imaging presentations and clinical outcomes in the ethnic communities represented by these cases (non-aboriginal and aboriginal). We retrospectively reviewed 22 cases from 1991 to 2001. We reviewed laboratory data, radiologic reports, and clinical outcomes. Before TB was proved by biopsy or culture, patients were not treated with an anti-TB regimen. Roentgenography showed that 68% of patients had renal calcification, 59% had dilated calyces, 55% had lung involvement, and 41% had auto-nephrectomy. The proportion of mild and severe forms was significantly different between aboriginal and non-aboriginal groups (0.05 > p ≥ 0.00409). From this series, we recommend routine plain film roentgenography, including chest roentgenography and kidney, ureter, and bladder or abdominal roentgenography, followed by intravenous urography or computerized tomography as investigative tools for renal TB. Based on the significantly different outcomes of the disease between aboriginal and non-aboriginal groups, a stronger health education program for the isolated district in eastern Taiwan is necessary.
تدمد: 1607-551X
DOI: 10.1016/s1607-551x(09)70473-5
URL الوصول: https://explore.openaire.eu/search/publication?articleId=doi_dedup___::8ed82b74cc439b16cf1deafd333cd482
Rights: OPEN
رقم الانضمام: edsair.doi.dedup.....8ed82b74cc439b16cf1deafd333cd482
قاعدة البيانات: OpenAIRE
الوصف
تدمد:1607551X
DOI:10.1016/s1607-551x(09)70473-5