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  • Title: [Frequency of tuberculosis in autopsy material of the Institute of Pathology of the Friedrich Schiller University Jena].
    Author: Ebert W.
    Journal: Zentralbl Allg Pathol; 1983; 128(1-2):81-3. PubMed ID: 6637190.
    Abstract:
    Steinbrück (1974), Müller and Ebert (1979), Martin and Schulze (1975) as well as Kühne (1982) reported on a number of cases of tuberculosis which remained undetected until autopsy though, according to analyses of the National Register of Tuberculosis in the GDR, the number of lethal cases has decreased (Steinbrück 1970, 1979). Analysing our post-mortem records we found 165 cases of tuberculosis (4.44%) among 3 714 autopsies. AS proposed by Seelinger an Gebhard (1977), they were subdivided: 1. tuberculosis considered the main cause of death; 2. tuberculosis was a secondary finding. Tuberculosis was shown to be the main cause of death in 50.9% of the cases including consequences of tuberculosis, for instance cor pulmonale. In 49,1% of the cases tuberculosis was a secondary finding. An analysis of age and sex distribution revealed that most of the cases occurred in the age group of 70 to 80 years. Males were 2.1 times more frequently affected than females. Among our 165 cases we found 124 cases of lung tuberculosis (72.2%) and 41 cases of extrapulmonary tuberculosis (24.8%). These included 17 cases of active tuberculosis of the lymph nodes. As 118 (72.9%) of these tuberculosis cases remained undetected by physicians during the patients' lifetime, each physician should pay more attention to tuberculosis in his diagnostic considerations.
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