Extrapulmonary tuberculosis: fine needle aspiration cytology diagnosis.
Niger J Clin Pract
; 14(3): 297-9, 2011.
Article
de En
| MEDLINE
| ID: mdl-22037072
ABSTRACT
BACKGROUND:
The increasing prevalence of extrapulmonary manifestation of tuberculosis with the HIV scourge is a cause for concern.OBJECTIVE:
To determine the role of fine needle aspiration cytology (FNAC) in the diagnosis of extrapulmonary tuberculosis. PATIENTS ANDMETHODS:
This is a consecutive 9-year analysis of patients with peripheral lymphadenopathy. All the patients had fine needle aspiration. Smears were made, fixed in 95% alcohol and stained with hematoxylin and eosin and Zeihl Neelsen stains.RESULTS:
48 patients, 31 males and 17 females, were analyzed. The mean age was 27.9 years. Aspirates were mainly from cervical lymph nodes. Four patients were HIV 1 seropositive. Macroscopically, 23 (48%) of the aspirates were purulent and 7 (14.6%) had caseous material. Microscopy showed granular eosinophilic material (caseation), multinucleated giant cells, epithelioid cells, neutrophils and lymphocytes. Staining for acid-fast bacilli was positive in 23 (48%) cases.CONCLUSION:
Early diagnosis of extrapulmonary tuberculosis in a resource-limited setting can be achieved with fine needle aspiration cytology technique (FNAC). This will ensure prompt treatment and thus reduce attendant morbidity and mortality.
Texte intégral:
1
Collection:
01-internacional
Base de données:
MEDLINE
Sujet principal:
Tuberculose ganglionnaire
/
Infections à VIH
/
Cytoponction
/
Noeuds lymphatiques
/
Mycobacterium tuberculosis
Type d'étude:
Diagnostic_studies
/
Prevalence_studies
/
Risk_factors_studies
/
Screening_studies
Limites:
Adolescent
/
Adult
/
Child
/
Child, preschool
/
Female
/
Humans
/
Infant
/
Male
/
Middle aged
Pays/Région comme sujet:
Africa
Langue:
En
Journal:
Niger J Clin Pract
Sujet du journal:
MEDICINA
Année:
2011
Type de document:
Article
Pays d'affiliation:
Nigeria