Incidental Tuberculosis in sudden, unexpected, or violent deaths in the community Lusaka, Zambia - A descriptive forensic post-mortem examination study

Mucheleng'anga, Luchenga Adam, Himwaze, Cordilia M., Telendiy, Viktor , Simumba, Suzyani, Soko, Jonathan, Kayonde, Nathan, Mulenga, Bwalya, Hamukale, Amos, Shibemba, Aaron Lunda, Lungu, Patrick S., Tembo, John, Bates, Matthew, Chanda-Kapata, Pascalina, Mwaba, Peter, Kapata, Nathan, Ntoumi, Francine and Zumla, Alimuddin (2022) Incidental Tuberculosis in sudden, unexpected, or violent deaths in the community Lusaka, Zambia - A descriptive forensic post-mortem examination study. International Journal of Infectious Diseases . ISSN 1201 9712

Full content URL: https://doi.org/10.1016/j.ijid.2022.03.005

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Incidental Tuberculosis in sudden, unexpected, or violent deaths in the community Lusaka, Zambia - A descriptive forensic post-mortem examination study
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Abstract

Objectives: Tuberculosis remains a global emergency. In Zambia only 55% of tuberculosis cases are diagnosed. We performed a study to determine incidental cases of tuberculosis seen at forensic autopsy of individuals who died suddenly and unexpectedly in the community in Lusaka, Zambia.

Methods: Whole-body autopsies were performed according to Standard Operating Procedures. Representative samples obtained from relevant organs were subjected to pathological examination. Information on circumstances surrounding the death was obtained. Data on patient demographics, gross and microscopic pathological findings, and cause(s) of death were analysed.

Results: Incidental tuberculosis was found in 52 cases (45 male, 7 female, age range 14-66) out of 4286 whole-body autopsies. 41/52 (80%) were aged 21-50 years. One was a 14-year old boy who died during a football match. 39/52 (75%) deaths were attributable specifically to tuberculosis only. Other deaths were due to acute alcohol intoxication(4), violence(7), ruptured ectopic pregnancy(1), bacterial meningitis (1). All the cases were from poor socio-economic backgrounds and lived in high-density areas of Lusaka.

Conclusions: Incidental cases of active tuberculosis undiagnosed antemortem seen at forensic autopsy reflects major gaps in the national TB control programs. More investments into proactive screening, testing, treatment activities, and accurate data collection are required.

Keywords:Autopsy, Forensic, Incidental TB, Tuberculosis, World TB Day
Subjects:A Medicine and Dentistry > A300 Clinical Medicine
Divisions:College of Science > School of Life Sciences
ID Code:48669
Deposited On:28 Mar 2022 13:32

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