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Vol. 3, Issue 12, Part B (2017)
Study of diagnosis of tuberculosis cervical lymphadenopathy by FNAC in rural tertiary health care centre
Study of diagnosis of tuberculosis cervical lymphadenopathy by FNAC in rural tertiary health care centre
Author(s)
Abstract
Background: Tuberculosis is one of the most common diseases of peripheral lymph node enlargement. Approximately one-third of the global population is infected with tubercle bacilli; about 9 million new cases of tuberculosis develop each year and about 2 million people die of this disease. India is Highest TB burden country in the world and accounts for nearly 2/3rd of cases of SEAR. Every year approximately 1.8 million person develop tuberculosis. TB is responsible for up to 43% of peripheral Lymphadenopathy in the developing world like India. The newer techniques have come for diagnosis of tuberculosis but they are too expensive and sophisticated to be any practical benefit to the high number of TB patient in rural India.
Background: Tuberculosis is one of the most common diseases of peripheral lymph node enlargement. Approximately one-third of the global population is infected with tubercle bacilli; about 9 million new cases of tuberculosis develop each year and about 2 million people die of this disease. India is Highest TB burden country in the world and accounts for nearly 2/3rd of cases of SEAR. Every year approximately 1.8 million person develop tuberculosis. TB is responsible for up to 43% of peripheral Lymphadenopathy in the developing world like India. The newer techniques have come for diagnosis of tuberculosis but they are too expensive and sophisticated to be any practical benefit to the high number of TB patient in rural India.
Material and Methods: This Cross sectional study was carried out in the Department of Otorhinolaryngology and Medicine, in a rural teaching hospital during the period of august 2014 to July 2015. Approval from the ethical committee has been taken.
Results: This study comprises of 85 patients, among them 40 cases were men and 45 cases were women.in our study the ratio of men to women was (1:1.2). This study revealed that youngest patient was 13 years old and oldest patient was 70 years old. tuberculosis cervical Lymphadenopathy was most commonly observed in age group of 21-30 years i.e. in 26 cases (30.58%). In our study 72.92% patients lymph nodes were matted while 28.23% cases had discrete lymph nodes.
Conclusion: Sensitivity of FNAC in diagnosis of tuberculosis was found to be 87.3% whereas specificity was found to be 100%. Excisinal biopsy were done in 18 cases (21.7%). FNAC is important tool in diagnosis cervical tubercular Lymphadenopathy in rural condition where newer modalities like PCR, bacteriphage assay, are yet to come.
Pages: 96-101 | 899 Views 74 Downloads
How to cite this article:
Dr. Yogesh M Paikrao, Dr. Kailas N Chintale. Study of diagnosis of tuberculosis cervical lymphadenopathy by FNAC in rural tertiary health care centre. Int J Appl Res 2017;3(12):96-101.
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