Tuberculosis is a public health problem in Mali. Pulmonary localization is the most frequent and extra-pulmonary involvement, in particular serous, is possible. In this study, we analyze our results of surgical pericardial drainage in tuberculous pericarditis. Methodology: We carried out a retrospective study at the CHU Point G over a period of five years from January 2012 to December 2017. The histological examination carried out on all the surgical specimens made it possible to retain the diagnosis of tuberculous pericarditis. Results: We identified and operated on 49 cases of tuberculous pericarditis, i.e. 70% of the pericardial drainage performed during the same period. The average age was 31.5 years (28 men and 21 women). The most common clinical signs were dyspnea (61.2%), chest pain (26.6%) and fever (12.2%). Pericardial drainage with pericardial biopsy was performed by xiphoid route in all of our patients. The mortality and morbidity rates were 4.1% and 8.2%, respectively. Conclusion: Pericardial tuberculosis attacks are frequent in Mali. The etiological diagnosis is based on the histology of the pericardial biopsy which can only be obtained surgically.

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Objectives: To determine the therapeutic modalities and to specify the evolution of the treatment of osteo-articular tuberculosis of the wrist. Introduction: Osteoarticular tuberculosis is rare 3 to 5% of all localizations by BK. Their diagnosis is often late. Patients and methods: This was a retrospective study continued from January 2010 to November 2017. 3 patients, 2 men and 1 woman aged 39.66 years (range 19 to 65 years) were involved. The average consultation time was 17 months (range 3 to 24 months). For both patients, it was isolated osteoarthritis of the wrist and for the 3rd, it was associated with another location. Two patients presented a concept of tuberculous contagion and the other a pulmonary tuberculosis associated with Pott's disease. The function was evaluated according to the Mayo Wrist score and the winding of the fingers. Results: The treatment consisted of debridement in all cases. In all our patients the pathological examination found an epitio-gigantocellular granuloma with caseous necrosis. Anti-tuberculosis chemotherapy was instituted in all patients for a period of 6 months (n = 2, one of which is still in treatment), 9 months (n = 1). At the average follow-up of 5 years in the 2 (extremes 2 and 8 years), we did not observe a recurrence. The function was good the 2 cases that finished their treatment with a complete winding of the fingers. Conclusion: Treatment is based on debridement and antituberculous chemotherapy. Applied early, it provides excellent results.