P0162 - Extrapulmonary Tuberculosis – A retrospective study of 77 cases at a tertiary care in , UAE Dr Erum Rehman, Dr Laila Al Dabal, Dr Andaleeb Shadan – Rashid Hospital, Infectious Disease Unit

Background Results Among 14 foci of EPTB, Lymph Nodes Discussion were the most common site involved in 77 patients with EPTB were seen during • Tuberculosis (TB) is a major global 53% of the cases followed by • In our study predominance of male gender health problem, with an estimated 9.6 this study period.; 70% were between 25 to Osteoarticular and Spine. Among Lymph 50 years of age. 60% patients were male is contrary to the Western World where million new cases in 2014 and 1.5 Nodes, Cervical with 85% were the most females predominate, but similar to Saudi million deaths. and 77% of female were in child bearing frequently involved nodes. age. Arabia.

• Extrapulmonary Tuberculosis (EPTB) Age Group No. of Patients Others • Geographic origin analysis showed the still constitute an important clinical Less than 25 10 Pericardial & pleural… predominance of Asians particularly from problem in the third world. Between 25-50 54 Cold Abscess South Asia followed by South East Asia, as Tubercloma More than 50 13 similarly observed in developed nations Eye • The Eastern Mediterranean region Total 77 because of influence of immigrant (inculding UAE) has the highest rate of Abdomen population from these regions. EPTB (22%). Disseminated South Asian being 40% of the population Bone, Joint and Spine • Most common age group is young (25-50) was the most prominent ethnic group • EPTB sites of commonly Lymph Node which exactly follows the trend of high among a diversified mix of nationalities. include lymph node, pleura and 0 50 occurrence of TB incidents in the young osteoarticular areas, although any 3% Arabs population. organ can be involved. HIV 11% UAE 13% 80 Objectives Nationals 60 Positive • The purpose of this study was to see 10% 23% South Conclusion the effect of demographic factors like Asians 40 Negative gender and age in its causation. Africans 20 • EPTB has high rates in South Asian males. 0 40% South East • Also to assess its frequency in • Tuberculous Lymphadenitis is the most Asians Done Not involved organ sites, prevalence of common form of EPTB. Westerners Done Human Immunodeficiency Virus (HIV) and treatment outcome, as very little • HIV testing is recommended for all cases as per the international guidelines. data has been reported earlier form T.Spot TB Rx Outcome the . 4, 5% • Possible reason of defaulters could be due 5, 6% Equivocal 80 to lack of awareness, which need Methodology 6, 8% awareness programmes for general 60 • A retrospective study was conducted Non Reactive population. for all diagnosed EPTB cases at 23, 30% 40 Modified Rashid Hospital from Jan 2012 till May Ordered Not • Our study gives some outlook of EPTB with 20 First Line This could be a place for pictures. 2015, through medical records. Done its demographic in Dubai and setting up basis for further study. Further studies are 39, 51% Reactive 0 • Data was analyzed for demographics, needed to see its relation with diabetes, Completed smoking, excess alcohol use and vitamin D involved sites, and labortary and Defaulter outcome status. Not Done Not deficiency. Ordered Referenes: 1. Global Tuberulosis Report-2015 Geneva, Switzerland, WHO 2. Sahl Al-Hajoj, Mohammed Shoukri, Ziad Memish, Exploring the sociodemographic and clinical features of Extra- Copyright © 2016 Dr. Erum Rehman pulmonary Tuberculosis in Saudi Arabia, journal.pone.0101667, 2015