[Comparison of cases of isolated pulmonary tuberculosis with cases of other localizations of tuberculosis in the course of an active surveillance (Gironde, 1995-1996)].
OBJECTIVE
Data collected during the years 1995 and 1996 in the course of an epidemiological survey of tuberculosis in Gironde allowed comparison of pulmonary tuberculosis with extrapulmonary localizations, evaluation of the importance of each localization and highlighting of potential risk factors.


METHODS
Patients living in Gironde who had evidence of either clinical, radiological or bacteriological expression of tuberculosis were included in the survey. Statistical comparisons were done using either Pearson's Chi 2 or Fisher's exact test.


RESULTS
The survey included 292 cases subdivided into 183 cases of pulmonary tuberculosis (63%) and 109 cases in which another localization had been diagnosed (37%). Extrapulmonary localizations that were the most often encountered either alone or in association with pulmonary localization were the following: lymphadenopathy (32%), pleural (28%), genito-urinary (12%) and osteo-articular localizations (7%). The survey showed that patients in whom tuberculosis localization was extra-pulmonary were more frequently under 20 years of age or over 60 years of age (P < 0.04). These patients also presented more often with HIV-infection (P < 0.02).


CONCLUSIONS
Extrapulmonary localizations of tuberculosis should be systematically investigated in young and elderly patients as well as in HIV-infected patients.
Daucourt
V
V
Réseau tuberculose Gironde, Inserm U330, université Victor-Segalen Bordeaux, France.
Petit
S
S
Pasquet
S
S
Portel
L
L
Courty
G
G
Dupon
M
M
Texier-Maugein
J
J
Meynard
J
J
Salamon
M
M
Dabis
F
F
Tessier
J F
JF
D017088:AIDS-Related Opportunistic Infections / Q000453:epidemiology; D000293:Adolescent; D000328:Adult; D000368:Aged; D002648:Child; D002675:Child, Preschool; D003710:Demography; D004812:Epidemiologic Methods; D005602:France / Q000453:epidemiology; D006801:Humans; D007223:Infant; D008875:Middle Aged; D011159:Population Surveillance; D015203:Reproducibility of Results; D014376:Tuberculosis / Q000175:diagnosis / Q000453:epidemiology*; D014388:Tuberculosis, Lymph Node / Q000453:epidemiology; D014394:Tuberculosis, Osteoarticular / Q000453:epidemiology; D014396:Tuberculosis, Pleural / Q000453:epidemiology; D014397:Tuberculosis, Pulmonary / Q000453:epidemiology*; D014401:Tuberculosis, Urogenital / Q000453:epidemiology
Comparaison des cas de tuberculose pulmonaire isolée aux cas de tuberculose d'autre localisation dans un système de surveillance active (Gironde, 1995-1996).