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Research ArticleOriginal Article
Open Access

The pattern of active pulmonary tuberculosis in adults at King Hussein Medical Center, Jordan

Haytham El-Khushman, Jafar A. Momani, Abdelmonen M. Sharara, Faris H. Haddad, Manaf A. Hijazi, Khitam A. Hamdan, Naheel M. Awadat and Yousif M. Al-Laham
Saudi Medical Journal May 2006, 27 (5) 633-636;
Haytham El-Khushman
PO Box 2399, TLA Al-Ali, Amman 11953, Jordan. Tel. +962 777412755. Fax. +962 (6) 5854566. E-mail: [email protected]
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  • For correspondence: [email protected]
Jafar A. Momani
Respiratory Medicine Division, King Hussein Medical Center, Amman, Jordan.
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Abdelmonen M. Sharara
Respiratory Medicine Division, King Hussein Medical Center, Amman, Jordan.
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Faris H. Haddad
Endocrinology Division, and Farah, King Hussein Medical Center, Amman, Jordan.
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Manaf A. Hijazi
Respiratory Medicine Division, King Hussein Medical Center, Amman, Jordan.
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Khitam A. Hamdan
Respiratory Medicine Division, King Hussein Medical Center, Amman, Jordan.
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Naheel M. Awadat
Farah Rehabilitation Center, King Hussein Medical Center, Amman, Jordan.
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Yousif M. Al-Laham
Respiratory Medicine Division, King Hussein Medical Center, Amman, Jordan.
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Abstract

OBJECTIVE: To identify the pattern of the clinical, radiological, and diagnostic procedures of the diagnosed cases of active pulmonary tuberculosis (TB) patients presented to the Respiratory Medicine Division at King Hussein Medical Center over the last 10 years.

METHODS: This is a retrospective analysis of the medical records and chest radiographs of 137 active pulmonary TB patients who were diagnosed between March 1995 and October 2005. Patient's symptoms were recorded and analyzed. Radiological findings were assessed. Procedures used to identify Mycobacterium TB were identified.

RESULTS: One hundred and thirty-seven patients medical records were retrieved and analyzed (84 males and 53 females). The mean age (range) was 48.43 ± 14.65 (14-83) years. The most common presenting symptoms were cough (79%), weight loss (74%), and fatigue (69%). Other presenting complaints were fever (69%), excessive night sweating (55%), chest pain (41%) and dyspnea (39%). Thirty-one percent of the cohort presented with hemoptysis. Seventy-one patients had different types of opacities and infiltrates in their chest x-ray. Micro- or macro- nodular lung changes were reported in 22 (16%) patients. Lung cavitations and pleural effusions were present in 13% of the studied patients. In 7% of cases, bronchiectasis was noted as a sequelae of long-standing lung disease. The right lung was involved in 51% of cases; the left lung in 27% and bilateral lung involvement was noted in 22% of patients. The upper lobes were involved in 63%. Sputum for acid-fast bacilli (AFB) Z-Nielson stain and culture was positive in 51%, bronchial wash was positive in 27% of cases. The diagnosis was made by histopathological examination in 15% of cases.

CONCLUSION: This study showed that active pulmonary TB patients vary in clinical presentation. The radiological manifestations of pulmonary TB are heterogeneous. Sputum for AFB remains an important, easy and inexpensive measure for TB diagnosis, but may not be always helpful in early diagnosis. Bronchoscopy with bronchial washings for Mycobacterium stain and culture is an important method, and it helps in confirming the diagnosis in sputum negative patients. In sputum and bronchial wash negative cases histopathological diagnosis can identify an important proportion of active pulmonary TB cases.

  • Copyright: © Saudi Medical Journal

This is an open-access article distributed under the terms of the Creative Commons Attribution-Noncommercial-Share Alike 3.0 Unported, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

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Saudi Medical Journal: 27 (5)
Saudi Medical Journal
Vol. 27, Issue 5
1 May 2006
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The pattern of active pulmonary tuberculosis in adults at King Hussein Medical Center, Jordan
Haytham El-Khushman, Jafar A. Momani, Abdelmonen M. Sharara, Faris H. Haddad, Manaf A. Hijazi, Khitam A. Hamdan, Naheel M. Awadat, Yousif M. Al-Laham
Saudi Medical Journal May 2006, 27 (5) 633-636;

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The pattern of active pulmonary tuberculosis in adults at King Hussein Medical Center, Jordan
Haytham El-Khushman, Jafar A. Momani, Abdelmonen M. Sharara, Faris H. Haddad, Manaf A. Hijazi, Khitam A. Hamdan, Naheel M. Awadat, Yousif M. Al-Laham
Saudi Medical Journal May 2006, 27 (5) 633-636;
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© 2025 Saudi Medical Journal Saudi Medical Journal is copyright under the Berne Convention and the International Copyright Convention.  Saudi Medical Journal is an Open Access journal and articles published are distributed under the terms of the Creative Commons Attribution-NonCommercial License (CC BY-NC). Readers may copy, distribute, and display the work for non-commercial purposes with the proper citation of the original work. Electronic ISSN 1658-3175. Print ISSN 0379-5284.

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