{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,24]],"date-time":"2026-07-24T04:55:23Z","timestamp":1784868923196,"version":"3.55.0"},"reference-count":43,"publisher":"BMJ","issue":"5","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J Clin Pathol"],"published-print":{"date-parts":[[2007,5]]},"abstract":"<jats:p><jats:bold>Background:<\/jats:bold>The risk of encountering tuberculosis (TB) has reduced with the decreased incidence of the disease; however, it still can be found at autopsy.<\/jats:p><jats:p><jats:bold>Aim:<\/jats:bold>To assess the magnitude of exposure to<jats:italic>Mycobacterium tuberculosis<\/jats:italic>at autopsy in a large general hospital setting, in a country with low incidence.<\/jats:p><jats:p><jats:bold>Methods:<\/jats:bold>Retrospective search of the autopsy records from 1991 to 2004. Patients\u2019 records and histological slides were reviewed, and medical personnel interviewed.<\/jats:p><jats:p><jats:bold>Results:<\/jats:bold>15 cases of active TB were identified in the 14-year period, during which 4930 autopsies were performed (1 case per 329 autopsies); of these, 10 cases were unsuspected (67%). Five of these cases contained abundant acid-fast bacilli. Patients tended to be middle aged and males with complex clinical histories; two were HIV positive. Two patients were brought in dead to hospital, with no clinical indication of TB. Of 15 autopsy staff, 1 required chemoprophylaxis but none contracted TB.<\/jats:p><jats:p><jats:bold>Conclusion:<\/jats:bold>The risk of unexpectedly encountering TB at autopsy continues even in a low-risk European setting. It has implications for the health of autopsy room staff, autopsy room design and ventilation, choice of protective equipment and for the public health service. 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