Relationship between patient sex and anatomical sites of extrapulmonary tuberculosis in Mali.
Relationship between patient sex and anatomical sites of extrapulmonary tuberculosis in Mali.
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DOI：
10.1016/j.jctube.2023.100389
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发表时间：
2023-12
影响因子：
2
通讯作者：
Dabitao, Djeneba
中科院分区：
文献类型：
--
作者：
Baya, Bocar;Sanogo, Ibrahim;Kone, Mahamadou;Soumare, Dianguina;Ouattara, Kadidia;Somboro, Amadou;Wague, Mamadou;Coulibaly, Nadie;Koloma, Isaac;Coulibaly, Mariam;Nantoume, Mohamed;Perou, Mamadou;Kone, Kadidia;Coulibaly, Djeneba;Diarra, Hawa Boukary;Kone, Bourahima;Diarra, Ayouba;Coulibaly, Mamadou D.;Sanogo, Moumine;Diarra, Bassirou;Diakite, Mahamadou;Achenbach, Chad J.;Doumbia, Seydou;Bishai, William R.;Klein, Sabra L.;Holl, Jane L.;Diallo, Souleymane;Murphy, Robert L.;Toloba, Yacouba;Dabitao, Djeneba
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Pleural, osteoarticular, lymph node, and abdominal TB are the most predominant clinical forms of extrapulmonary TB in Mali. There are sex-based differences in anatomical localizations of extrapulmonary TB. Males have higher odds for developing pleural TB, yet less likely to have abdominal or lymph node TB compared to females. Contribution of host factors in mediating susceptibility to extrapulmonary tuberculosis is not well understood. To examine the influence of patient sex on anatomical localization of extrapulmonary tuberculosis. We conducted a retrospective cross-sectional study in Mali, West Africa. Hospital records of 1,304 suspected cases of extrapulmonary tuberculosis, available in TB Registry of a tertiary tuberculosis referral center from 2019 to 2021, were examined. A total of 1,012 (77.6%) were confirmed to have extrapulmonary tuberculosis with a male to female ratio of 1.59:1. Four clinical forms of EPTB predominated, namely pleural (40.4%), osteoarticular (29.8%), lymph node (12.5%), and abdominal TB (10.3%). We found sex-based differences in anatomical localization of extrapulmonary tuberculosis, with males more likely than females to have pleural TB (OR: 1.51; 95% CI [1.16 to 1.98]). Conversely, being male was associated with 43% and 41% lower odds of having lymph node and abdominal TB, respectively (OR: 0.57 and 0.59). Anatomical sites of extrapulmonary tuberculosis differ by sex with pleural TB being associated with male sex while lymph node and abdominal TB are predominately associated with female sex. Future studies are warranted to understand the role of sex in mediating anatomical site preference of tuberculosis.
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