Nisar M, Williams C S, Davies P D
Tuberculosis Research Unit, Sefton General Hospital, Liverpool, U.K.
Respir Med. 1991 May;85(3):219-22. doi: 10.1016/s0954-6111(06)80083-1.
We have undertaken a retrospective survey of patients of South East Asian ethnic origin (SEA), presenting with tuberculosis (between 1980 and 1989) while resident in the Liverpool district. Of 708 notifications in the 10-year period, 42 (6%) were SEA patients mainly from Hong Kong or mainland China. A total of 22 (52%) of the SEA patients presented with an extrapulmonary site of disease. Drug resistance was present in 11% of those for whom sensitivity results were available. Rates of disease in Hong Kong are similar to those seen in the Indian Subcontinent (ISC) population in the U.K. With the expected immigration of Hong Kong Chinese and possibly other SEA individuals to the U.K. as a result of the lease back of Hong Kong in 1997, all clinicians must be alerted to the possibility of tuberculosis whenever these individuals present with disease. The high incidence of extra pulmonary disease in SEA immigrants is striking and similar to that seen in the ISC population.
我们对居住在利物浦地区、1980年至1989年间患结核病的东南亚裔患者进行了一项回顾性调查。在这10年期间的708例报告病例中,42例(6%)为主要来自香港或中国大陆的东南亚患者。共有22例(52%)东南亚患者出现肺外疾病部位。在有药敏结果的患者中,11%存在耐药情况。香港的发病率与英国印度次大陆(ISC)人群的发病率相似。由于1997年香港回归后预期有香港华人以及可能其他东南亚人移民到英国,所有临床医生在这些人患病就诊时,必须警惕结核病的可能性。东南亚移民中肺外疾病的高发病率令人瞩目,且与ISC人群中所见情况相似。