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Tuberculous pericarditis epidemiology and demographics

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor-In-Chief: Fahimeh Shojaei, M.D., Varun Kumar, M.B.B.S.; Lakshmi Gopalakrishnan, M.B.B.S.

Overview

The prevalence of tuberculous pericarditis is approximately 1-2% of patients with pulmonary tuberculosis. Patients of all age groups may develop tuberculous pericarditis. The incidence of tuberculous pericarditis increases with age. Tuberculous pericarditis commonly affects elderly. Tuberculous pericarditis usually affects individuals of the black race. Men are more commonly affected by tuberculous pericarditis than female. Since the prevalence of tuberculous pericarditis may follow tuberculosis prevalence, The majority of tuberculous pericarditis cases are reported in South Africa, Indonesia, Nigeria, Pakistan, India, and China.

Epidemiology and Demographics

Prevalence

Age

  • Patients of all age groups may develop tuberculous pericarditis.
  • The incidence of tuberculous pericarditis increases with age.
  • Tuberculous pericarditis commonly affects elderly.

Race

  • Tuberculous pericarditis usually affects individuals of the black race.[3]

Gender

  • Men are more commonly affected by tuberculous pericarditis than female.[4]

Region

Developed Countries

  • After the resurgence of TB in the mid-1980s, the number of case counts steadily increased, peaking in 1992.[5]
  • Since the 1992 TB resurgence peak in the United States, the number of TB cases reported has decreased annually.
  • The year 2014 marked the twenty-second year of decline in the total number of TB cases reported in the United States since the peak of the resurgence.
  • In 2014, a total of 9,421 cases were reported from the 50 states and the District of Columbia (DC).
  • This represented a decline of 1.5% from 2013.
  • The number of cases per 100,000 in 2013 and 2014 has been stable at a rate of 3.0.
Image 1 – Reported TB Cases United States, 1982–2014– Center for Disease Control and Prevention(CDC)[5]
Image 2 – TB Case Rates,* United States, 2014– Center for Disease Control and Prevention(CDC)[5]


References

  1. Fowler NO (1991). “Tuberculous pericarditis”. JAMA. 266 (1): 99–103. PMID 2046135.
  2. Larrieu AJ, Tyers GF, Williams EH, Derrick JR (1980). “Recent experience with tuberculous pericarditis”. Ann Thorac Surg. 29 (5): 464–8. PMID 7377888.
  3. HAGEMAN JH, D ESOPO ND, GLENN WW (February 1964). “TUBERCULOSIS OF THE PERICARDIUM. A LONG-TERM ANALYSIS OF FORTY-FOUR PROVED CASES”. N. Engl. J. Med. 270: 327–32. doi:10.1056/NEJM196402132700702. PMID 14082261.
  4. Rooney JJ, Crocco JA, Lyons HA (January 1970). “Tuberculous pericarditis”. Ann. Intern. Med. 72 (1): 73–81. doi:10.7326/0003-4819-72-1-73. PMID 5410398.
  5. 5.0 5.1 5.2 5.3 “WHO 2016 TB Report” (PDF).

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