Prevalence of latent tuberculosis and mycobacterial infections in medicolegal cases with pleural adhesions: An observational study

Objective and Background: Pleural adhesions, fibrous bands between pleural layers, are common in autopsies and often associated with Tuberculosis (TB). This study aims to determine the prevalence of latent TB and mycobacterial infections in medicolegal cases with pleural adhesions. The focus is on v...

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Main Authors: Jayanthi Yadav, Ujjawal Khurana, Shubham Richariya, Shashank Purwar, Sangita Moirangthem, Johann Aibantyllilang Blah
Format: Article
Language:English
Published: Elsevier 2025-07-01
Series:Forensic Science International: Reports
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Online Access:http://www.sciencedirect.com/science/article/pii/S2665910725000027
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author Jayanthi Yadav
Ujjawal Khurana
Shubham Richariya
Shashank Purwar
Sangita Moirangthem
Johann Aibantyllilang Blah
author_facet Jayanthi Yadav
Ujjawal Khurana
Shubham Richariya
Shashank Purwar
Sangita Moirangthem
Johann Aibantyllilang Blah
author_sort Jayanthi Yadav
collection DOAJ
description Objective and Background: Pleural adhesions, fibrous bands between pleural layers, are common in autopsies and often associated with Tuberculosis (TB). This study aims to determine the prevalence of latent TB and mycobacterial infections in medicolegal cases with pleural adhesions. The focus is on various diagnostic approaches and implications of the study for TB management in a high-burden setting like India. Materials and Methods: The observational study spanned two years, involving 743 autopsies at AIIMS Bhopal. Tissue samples from 82 cases with pleural adhesions were analyzed after obtaining consent and a detailed history. Diagnostic methods, including direct smear microscopy, Mycobacteria Growth Indicator (MGIT), Lowenstein–Jensen (LJ) media, and PCR, were employed. Observation: Of 164 cases with pleural adhesions, 15 (18.29 %) were positive for Mycobacterium, including 11 MTB and 4 NTM cases. Diagnostic methods revealed the challenges in detecting latent TB. Incidental diagnoses were prevalent, emphasizing the need for heightened awareness. Advanced techniques (MGIT, LJ, PCR) improved detection rates. The study highlights latent TB's impact in India, suggesting the importance of research, surveillance, and interventions for effective TB control. Addressing latent TB becomes crucial in global eradication efforts. Conclusion: The study emphasizes India's TB burden, with pleural adhesions acting as clinical markers. Incidental diagnoses and the role of latent TB in the population underscore the need for enhanced research and diagnostic strategies. Diagnostic challenges, including limited symptoms, necessitate advanced techniques. The study discusses the multifaceted challenge of latent TB diagnosis and the importance of interventions.
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spelling doaj-art-1ab9a30e25884ec1b416cade40685b802025-01-24T04:45:40ZengElsevierForensic Science International: Reports2665-91072025-07-0111100406Prevalence of latent tuberculosis and mycobacterial infections in medicolegal cases with pleural adhesions: An observational studyJayanthi Yadav0Ujjawal Khurana1Shubham Richariya2Shashank Purwar3Sangita Moirangthem4Johann Aibantyllilang Blah5Department of forensic medicine & toxicology, All India Institute of Medical Sciences Bhopal, India; Correspondence to: Department of forensic medicine & toxicology, Sardar Vallabh Bhai Patel Bhawan, All India Institute of Medical Sciences Bhopal, Saket nagar, Bhopal, MP 462020, India.Department of Pathology & lab medicine, All India Institute of Medical Sciences Bhopal, IndiaDepartment of forensic medicine & toxicology, All India Institute of Medical Sciences Bhopal, IndiaDepartment of Microbiology, All India Institute of Medical Sciences Bhopal, IndiaDepartment of forensic medicine & toxicology, All India Institute of Medical Sciences Bhopal, IndiaDepartment of Community Medicine, All India Institute of Medical Sciences Jammu, IndiaObjective and Background: Pleural adhesions, fibrous bands between pleural layers, are common in autopsies and often associated with Tuberculosis (TB). This study aims to determine the prevalence of latent TB and mycobacterial infections in medicolegal cases with pleural adhesions. The focus is on various diagnostic approaches and implications of the study for TB management in a high-burden setting like India. Materials and Methods: The observational study spanned two years, involving 743 autopsies at AIIMS Bhopal. Tissue samples from 82 cases with pleural adhesions were analyzed after obtaining consent and a detailed history. Diagnostic methods, including direct smear microscopy, Mycobacteria Growth Indicator (MGIT), Lowenstein–Jensen (LJ) media, and PCR, were employed. Observation: Of 164 cases with pleural adhesions, 15 (18.29 %) were positive for Mycobacterium, including 11 MTB and 4 NTM cases. Diagnostic methods revealed the challenges in detecting latent TB. Incidental diagnoses were prevalent, emphasizing the need for heightened awareness. Advanced techniques (MGIT, LJ, PCR) improved detection rates. The study highlights latent TB's impact in India, suggesting the importance of research, surveillance, and interventions for effective TB control. Addressing latent TB becomes crucial in global eradication efforts. Conclusion: The study emphasizes India's TB burden, with pleural adhesions acting as clinical markers. Incidental diagnoses and the role of latent TB in the population underscore the need for enhanced research and diagnostic strategies. Diagnostic challenges, including limited symptoms, necessitate advanced techniques. The study discusses the multifaceted challenge of latent TB diagnosis and the importance of interventions.http://www.sciencedirect.com/science/article/pii/S2665910725000027Pleural adhesionForensic pathologyIncidental TuberculosisLatent tuberculosisNon tubercular mycobacteria
spellingShingle Jayanthi Yadav
Ujjawal Khurana
Shubham Richariya
Shashank Purwar
Sangita Moirangthem
Johann Aibantyllilang Blah
Prevalence of latent tuberculosis and mycobacterial infections in medicolegal cases with pleural adhesions: An observational study
Forensic Science International: Reports
Pleural adhesion
Forensic pathology
Incidental Tuberculosis
Latent tuberculosis
Non tubercular mycobacteria
title Prevalence of latent tuberculosis and mycobacterial infections in medicolegal cases with pleural adhesions: An observational study
title_full Prevalence of latent tuberculosis and mycobacterial infections in medicolegal cases with pleural adhesions: An observational study
title_fullStr Prevalence of latent tuberculosis and mycobacterial infections in medicolegal cases with pleural adhesions: An observational study
title_full_unstemmed Prevalence of latent tuberculosis and mycobacterial infections in medicolegal cases with pleural adhesions: An observational study
title_short Prevalence of latent tuberculosis and mycobacterial infections in medicolegal cases with pleural adhesions: An observational study
title_sort prevalence of latent tuberculosis and mycobacterial infections in medicolegal cases with pleural adhesions an observational study
topic Pleural adhesion
Forensic pathology
Incidental Tuberculosis
Latent tuberculosis
Non tubercular mycobacteria
url http://www.sciencedirect.com/science/article/pii/S2665910725000027
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