{"title":"抗结核治疗在伴有眼部表现的潜伏肺结核中的作用","authors":"M. Periyanayagi, Uma Velpandian, A. Mohankumar","doi":"10.18231/j.pjms.2023.143","DOIUrl":null,"url":null,"abstract":"Tuberculosis is an airborne infectious illness caused by Mycobacterium tuberculosis, and it is the most common cause of morbidity and mortality worldwide. Extra-pulmonary TB, often known as ocular tuberculosis, can occur alone or in conjunction with pulmonary tuberculosis. Tuberculosis of the eye can be caused by an active infection or a type 4 hypersensitivity reaction.Aim: To investigate the role of antituberculous therapy in the treatment of suspected intraocular tuberculosis. Based on a clinical diagnosis of Ocular tuberculosis, 46 patients were assessed with a chest X-ray, Mx test, and quantiferon gold assay and treated with ATT. The results showed that out of 46 patients, 29 were females and 17 were males. There were 34 patients with B/L involvement and 12 with U/L involvement. In addition, 76 percent of individuals tested positive for tuberculin on their skin, indicating latent tuberculosis. Quantiferon gold assay was positive in 19.56 percent of patients. On X-ray chest, 17.3% of patients had a healed old tuberculosis lesion. H/O contact with TB family members was reported in 13.04 percent of patients. All patients who had ATT therapy had a favourable outcome, with inflammation clearance and non-recurrence.","PeriodicalId":30643,"journal":{"name":"PANACEA JOURNAL OF MEDICAL SCIENCES","volume":"20 9","pages":""},"PeriodicalIF":0.0000,"publicationDate":"2023-12-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Role of antituberculous therapy in latent tuberculosis with ocular manifestations\",\"authors\":\"M. Periyanayagi, Uma Velpandian, A. Mohankumar\",\"doi\":\"10.18231/j.pjms.2023.143\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"Tuberculosis is an airborne infectious illness caused by Mycobacterium tuberculosis, and it is the most common cause of morbidity and mortality worldwide. Extra-pulmonary TB, often known as ocular tuberculosis, can occur alone or in conjunction with pulmonary tuberculosis. Tuberculosis of the eye can be caused by an active infection or a type 4 hypersensitivity reaction.Aim: To investigate the role of antituberculous therapy in the treatment of suspected intraocular tuberculosis. Based on a clinical diagnosis of Ocular tuberculosis, 46 patients were assessed with a chest X-ray, Mx test, and quantiferon gold assay and treated with ATT. The results showed that out of 46 patients, 29 were females and 17 were males. There were 34 patients with B/L involvement and 12 with U/L involvement. In addition, 76 percent of individuals tested positive for tuberculin on their skin, indicating latent tuberculosis. Quantiferon gold assay was positive in 19.56 percent of patients. On X-ray chest, 17.3% of patients had a healed old tuberculosis lesion. H/O contact with TB family members was reported in 13.04 percent of patients. All patients who had ATT therapy had a favourable outcome, with inflammation clearance and non-recurrence.\",\"PeriodicalId\":30643,\"journal\":{\"name\":\"PANACEA JOURNAL OF MEDICAL SCIENCES\",\"volume\":\"20 9\",\"pages\":\"\"},\"PeriodicalIF\":0.0000,\"publicationDate\":\"2023-12-15\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"PANACEA JOURNAL OF MEDICAL SCIENCES\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.18231/j.pjms.2023.143\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"\",\"JCRName\":\"\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"PANACEA JOURNAL OF MEDICAL SCIENCES","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.18231/j.pjms.2023.143","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}
引用次数: 0
摘要
结核病是由结核分枝杆菌引起的一种空气传播传染病,是全球最常见的发病和死亡原因。肺外结核通常被称为眼结核,可单独发生,也可与肺结核同时发生。眼结核可由活动性感染或 4 型超敏反应引起。目的:探讨抗结核治疗在治疗疑似眼结核中的作用。根据眼结核的临床诊断,对 46 名患者进行了胸部 X 光检查、Mx 试验和定量金测定,并对其进行了抗结核治疗。结果显示,46 名患者中,女性 29 人,男性 17 人。有 34 名患者受 B/L 病毒感染,12 名患者受 U/L 病毒感染。此外,76%的患者皮肤结核菌素检测呈阳性,表明存在潜伏结核病。19.56%的患者定量金检测呈阳性。在胸部 X 光检查中,17.3% 的患者有已愈合的陈旧性结核病灶。据报告,13.04%的患者曾与肺结核家庭成员接触。所有接受过 ATT 治疗的患者均取得了良好的疗效,炎症清除且不再复发。
Role of antituberculous therapy in latent tuberculosis with ocular manifestations
Tuberculosis is an airborne infectious illness caused by Mycobacterium tuberculosis, and it is the most common cause of morbidity and mortality worldwide. Extra-pulmonary TB, often known as ocular tuberculosis, can occur alone or in conjunction with pulmonary tuberculosis. Tuberculosis of the eye can be caused by an active infection or a type 4 hypersensitivity reaction.Aim: To investigate the role of antituberculous therapy in the treatment of suspected intraocular tuberculosis. Based on a clinical diagnosis of Ocular tuberculosis, 46 patients were assessed with a chest X-ray, Mx test, and quantiferon gold assay and treated with ATT. The results showed that out of 46 patients, 29 were females and 17 were males. There were 34 patients with B/L involvement and 12 with U/L involvement. In addition, 76 percent of individuals tested positive for tuberculin on their skin, indicating latent tuberculosis. Quantiferon gold assay was positive in 19.56 percent of patients. On X-ray chest, 17.3% of patients had a healed old tuberculosis lesion. H/O contact with TB family members was reported in 13.04 percent of patients. All patients who had ATT therapy had a favourable outcome, with inflammation clearance and non-recurrence.