Incidence of abdominal tuberculosis in Bangladeshi migrants in east London.
A retrospective epidemiological study of abdominal tuberculosis in a defined population in the London Borough of Tower Hamlets was conducted between January 1985 and 31 December 1989. The total population of 163,900 included a mean of 20,732 Bangladeshis. Of the 13 cases diagnosed 8 were Bangladeshi, with equal involvement of the peritoneum and intestine. The crude incidence in the Bangladeshi community was 7.7 cases/10(5)/year, which was significantly higher than that in Europeans (0.3 cases/10(5)/year, chi 2 with Yate's correction = 14.0 P < 0.001). The highest age-specific incidence was amongst those aged 16-20 years and 41-45 years. Most patients had a laparotomy or peritoneal biopsy to confirm the diagnosis. The response to therapy was good. Only 62% of cases were notified. This study confirms the importance of tuberculosis in the differential diagnosis of abdominal symptoms in Bangladeshi patients.
London Chest Hospital, UK.
C D
CD
Sheldon
C S
CS
Probert
H
H
Cock
K
K
King
D S
DS
Rampton
N C
NC
Barnes
J F
JF
Mayberry
D000293:Adolescent; D000328:Adult; D000367:Age Factors; D000368:Aged; D001459:Bangladesh / Q000208:ethnology; D002429:Cecal Diseases / Q000208:ethnology; D005260:Female; D006801:Humans; D007077:Ileal Diseases / Q000208:ethnology; D015994:Incidence; D008131:London / Q000453:epidemiology; D008297:Male; D014395:Peritonitis, Tuberculous / Q000175:diagnosis / Q000453:epidemiology*; D012189:Retrospective Studies; D014171:Transients and Migrants; D014385:Tuberculosis, Gastrointestinal / Q000175:diagnosis / Q000453:epidemiology*