Overdiagnosis of Tuberculosis in Patients Referred for Hospitalization to TB Unit

The objective : to establish the reasons of discrepancy between preliminary and final clinical diagnoses in patients admitted TB inpatient unit, determine ways improve diagnosis tuberculosis at pre-hospital stage. Subjects Methods . We studied 130 medical records (77 HIV negative - Group 1, 53 positive – 2) unit hospital 2014-2022, whom (TB) was excluded after examination. Results In all were diagnosed with pulmonary tuberculosis, 2, 29 24 tuberculous meningitis (TM). Primary examination analysis caused doubts about 60 (77.9%) 40 (75.5%) 2. When suspected, pneumonia cancer most often verified: 33.8% 27.3% 51.7% 24.1% causes diagnostic errors stage included insufficient attention history manifestations; outcomes treatment broad-spectrum antibiotics ignored; no control radiological performed; fibrobronchoscopy, chest computed tomography, consultations specialists not provided. Often individuals 25/47 (53.2%) had false results sputum microscopy. suspected meningitis, cerebral toxoplasmosis (41.7%) mycotic (25.0%). Poor coverage neuroimaging, genetic molecular serological tests led errors.