Dursun TATAR, Serpil ALPTEKİN, Mert AYDIN, İpek COŞKUNOL

EKSTRAPULMONER TÜBERKÜLOZDA CİNSİYET FARKLILIĞI

Ekstrapulmoner tüberkülozun (EPT) klinik görünümlerinde cinsiyet farklılığını araştırmak amaçlanmıştır. Ocak 2000-Ocak 2004 tarihleri arasında dispanserimizde tedavi ve izlemi yapılan 137 EPT'li olgunun kayıtları retrospektif olarak incelendi. Olgularımızın 71 (%51.82)'i erkek 66 (%48.17)'sı kadın olup, erkeklerin yaş ortalaması 35.25± 16.02, kadınların yaş ortalaması 38.95±17.82 idi. Her iki cinste de en sık görülen EPT formları plevra ve lenf bezi tüberkülozu iken, plevra tüberkülozu erkeklerde (%67.60-%40.90, p=0.002), lenf bezi tüberkülozu kadınlarda (%31.81-%11.26, p=0.017) daha yüksek oranlarda saptandı. Akciğer tüberkülozu birlikteliği erkeklerde daha fazlaydı (%21.21-%8.45). Her iki cinste en sık izlenen semptomlar gece terlemesi, öksürük ve göğüs ağrısı idi. Erkeklerde göğüs ağrısı (p=0.046) ve balgam çıkarma (p=0.021), kadınlarda lenfadenopatiye bağlı ele gelen şişlik (p=0.003) yakınması daha fazlaydı. Temas öyküsü kadınlarda (%27.27- %21.12), daha fazla iken, tüberküloz geçirme öyküsü yalnız erkeklerde (%8.45) vardı. Kadınlarda ve erkeklerde, EPT'nin klinik görünümlerinde belirgin farklılıklar vardı. Her iki cinste de plevra tüberkülozu en sık EPT formu iken lenf bezi tüberkülozu kadınlarda erkeklere göre yaklaşık üç kat fazla saptandı.

Anahtar Kelimeler:

Ekstrapulmoner tüberküloz, tüberküloz, cinsiyet

GENDER DIFFERENCES IN EXTRAPULMONARY TUBERCULOSIS

To e valuate gender differences in the clinical manifestations of extrapulmonary tuberculosis (EPT). Records of 137 cases with EPT reviewed retrospectively which were treated and followed up in our dispensary between January 2000- December 2003. 71 of our cases were male, 66 were female and the mean age was 35.25±16.02 in males and 38.95±17.82 in females. While the most common EPT forms were pleural and lymph node tuberculosis in both sexes, pleural tuberculosis was more in males (67.60%-40.90%, p=0.002), and lymph node tuberculosis was more in females (31.81%-11.26%, p=0.017). Accompanying lung tuberculosis was more in males (21.21%-8.45%). The most common symptoms in both sexes were night sweating, cough and chest pain. Chest pain (p=0.046) and sputum expectoration (p=0.021) were more in males, palpable lymphadenopathy(p=0.003) was more in females. While the history of contact was more in females, history of tuberculous disease was found only in males. There were significant clinical differences between females an d males. While the most common form of EPT was pleural tuberculosis in both genders, lymph node tuberculosis was found approximately three times more in females.

Keywords:

Extrapulmonary tuberculosis, tuberculosis, gender,

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