The pattern of extrapulmonary tuberculosis according to the materials of Saint Petersburg City Tuberculosis Hospital Two and the problems in delivery of health care

: Extrapulmonary tuberculosis mainly afflicted females over 60 years of age; males aged 20-29 years suffered from this disease concurrent with HIV infection. The major site of extrapulmonary tuberculosis was the urogenital tract; however, the incidence of tuberculosis of the nervous system considerably increased. At the same time abdominal tuberculosis was prevalent in HIV-infected patients. The rate of concomitant pulmonary and extrapulmonary tuberculosis was on the rise. In extrapulmonary tuberculosis, the common cause of death was nervous system tuberculosis. Disseminated and complicated extrapulmonary tuberculosis requires that the problems associated with personnel, organization, and finance be solved.