Volume : 7, Issue : 8, August - 2018

EPDEMIOLOGY OF ABDOMINAL TUBERCULOSIS IN SOUTHERN INDIA- A RETROSPECTIVE STUDY

N. Soundharrajan, T. Chitra

Abstract :

<p class="MsoNormal"><span lang="EN-IN" style="font-size:12.0pt;line-height:115%;&#10;font-family:&quot;Times New Roman&quot;,&quot;serif&quot;">BACKGROUND OF THE STUDY:<o:p></o:p></span></p> <p class="MsoNormal" style="line-height:200%"><span lang="EN-IN" style="font-size:&#10;12.0pt;line-height:200%;font-family:&quot;Times New Roman&quot;,&quot;serif&quot;">In spite of considerable advances in recent times, tuberculosis, particularly of the abdomen<span style="mso-spacerun:yes">&nbsp; </span>is<span style="mso-spacerun:yes">&nbsp; </span>the<span style="mso-spacerun:yes">&nbsp; </span>major health problem in<span style="mso-spacerun:yes">&nbsp; </span>India. Abdominal tuberculosis has been a major source of morbidity. The disease is a diagnostic enigma and the management is still controversial.<o:p></o:p></span></p> <p class="MsoNormal" style="line-height:200%"><span lang="EN-IN" style="font-size:&#10;12.0pt;line-height:200%;font-family:&quot;Times New Roman&quot;,&quot;serif&quot;"><span style="mso-spacerun:yes">&nbsp;</span>METHODS AND MATERIALS:<o:p></o:p></span></p> <p class="MsoNormal" style="line-height:200%"><span lang="EN-IN" style="font-size:&#10;12.0pt;line-height:200%;font-family:&quot;Times New Roman&quot;,&quot;serif&quot;">The study was done in Govt. Rajaji Hospital and Madurai Medical College from September 2013 to September 2014. 50 cases have been studied. 49 cases underwent definitive<span style="mso-spacerun:yes">&nbsp; </span>surgeries. Follow up period ranges from 1 month to 22 months.<o:p></o:p></span></p> <p class="MsoNormal" style="line-height:200%"><span lang="EN-IN" style="font-size:&#10;12.0pt;line-height:200%;font-family:&quot;Times New Roman&quot;,&quot;serif&quot;">CONCLUSON:<o:p></o:p></span></p> <p class="MsoNormal" style="line-height:200%"><span lang="EN-IN" style="font-size:&#10;12.0pt;line-height:200%;font-family:&quot;Times New Roman&quot;,&quot;serif&quot;"><span style="mso-spacerun:yes">&nbsp;</span>The most common presenting complaint was abdominal pain<span style="mso-spacerun:yes">&nbsp; </span>(90%) and sign was abdominaltenderness(56%). Most of the cases were anaemic and poorly nourished. Most common age group being the 2nd, 3rd, and 4th, decades of life contributing 74% of the total sample size.The M: F ratio was 1.5:1.Diagnosisisdifficultinabsenceofactivepulmonarydisease,4patients had activepulmonary disease and accuracy of diagnosis was 60%.<o:p></o:p></span></p>