Effect of Sex, Age, and Race on the Clinical Presentation of Tuberculosis: A 15-Year Population-Based Study

Extrapulmonary tuberculosis (EPTB) is an important health problem that may cause serious morbidity and diagnostic challenges. We conducted a case–control study involving 5,684, approximately 99% of bacteriologically confirmed TB patients (including 1,925 EPTB cases) diagnosed in Denmark and Greenlan...

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Bibliographic Details
Published in:The American Journal of Tropical Medicine and Hygiene
Main Authors: Zhang, Xinyu, Andersen, Aase B., Lillebaek, Troels, Kamper-Jørgensen, Zaza, Thomsen, Vibeke Østergaard, Ladefoged, Karin, Marrs, Carl F., Zhang, Lixin, Yang, Zhenhua
Format: Text
Language:English
Published: The American Society of Tropical Medicine and Hygiene 2011
Subjects:
Articles
Greenland
Online Access:http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3144827
http://www.ncbi.nlm.nih.gov/pubmed/21813849
https://doi.org/10.4269/ajtmh.2011.10-0630
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Summary:Extrapulmonary tuberculosis (EPTB) is an important health problem that may cause serious morbidity and diagnostic challenges. We conducted a case–control study involving 5,684, approximately 99% of bacteriologically confirmed TB patients (including 1,925 EPTB cases) diagnosed in Denmark and Greenland during 1992–2007 to gain insight to the role of host factors in EPTB pathogenesis. Among patients from Somalia and Asia, persons 25–44 and 45–64 years of age were more likely to have EPTB than persons 15–24 years of age. In contrast, among persons from Greenland, the two oldest age groups were significantly less likely to have EPTB than the youngest age group. For all the age groups, the odds for having EPTB was significantly higher among patients from Somalia and Asia and significantly lower among the patients from Greenland than among patients from Denmark. Furthermore, the occurrence of specific types of EPTB significantly varied among different age groups or origins.

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