Although the cause of the steady increase in tuberculosis (TB) notifications in England and Wales since 1987 is multifactorial, the elderly have made an appreciable contribution.
From 1987-1989 the increase was 6% for all ages combined, but 13% in females and 16% in males over the age of 75.
Tuberculosis in the elderly therefore remains an appreciable problem.
Although the characteristic presentation of chronic cough, malaise and weight loss, with cavitatory changes in the upper lobes still predominates in the elderly, there has been an increased incidence of cryptic miliary disease in which the onset is insidious and chest X-ray often normal.
The diagnosis must often be made on suspicion and treatment started before a positive diagnosis is obtained.
Mots-clés Pascal : Tuberculose, Mycobactériose, Bactériose, Infection, Article synthèse, Epidémiologie, Pays de Galles, Grande Bretagne, Royaume Uni, Europe, Chronique, Vieillard, Homme, Diagnostic, Pathogénie, Traitement, Angleterre
Mots-clés Pascal anglais : Tuberculosis, Mycobacterial infection, Bacteriosis, Infection, Review, Epidemiology, Wales, Great Britain, United Kingdom, Europe, Chronic, Elderly, Human, Diagnosis, Pathogenesis, Treatment, England
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 94-0683702
Code Inist : 002B11D. Création : 09/06/1995.