La miliaire tuberculeuse,une série rétrospective marocaine

Miliary tuberculosis and acute respiratory distress syndrome

“…These results are consistent with those observed earlier by other authors who found that in developing countries TB is most likely to affect young male adults in full socio-economic activity, which may lead to increased poverty in affected persons or families [2], [5], [9]. Smoking is likely to play a role in the emergence of miliary TB by local alteration of defense mechanisms [6], [10]. Previous studies have shown that 33.5% of patients with miliary TB were smokers, compared to 22.4% and 46.7% in the studies performed by Touré et al.…”

“…Patients with miliary TB represented 13% of patients with pulmonary TB diagnosed over 2 years in the Department of Internal Medicine and Infectious Diseases of the Kiffa Regional Hospital Center. The proportion of miliary TB in our study is lower than that observed in other studies carried out in Africa, notably in other countries in the region, including Tunisia [7], Morocco [6], Mali [4], and Senegal [5]. The male:female sex ratio was higher in our study than that observed in other African countries [5], [6], [8].…”

“…[5] and Zaghba et al. [6], respectively. In our study, regular smokers accounted for 17/24 (71%) of patients with miliary TB.…”

“…The incidence of miliary TB in relation to all forms of TB is between 0.15% and 10%, depending on the studies conducted by different authors [1], [4], [5]. Its mortality rate has been reported to lie between 13% and 25%, and even up to 65% in patients requiring mechanical ventilation [3], [6]. Miliary TB still faces diagnostic difficulties even in developed countries, sometimes leading to delays in initiating appropriate treatment, thus compromising the vital prognosis [4], [6], [7].…”

“…Its mortality rate has been reported to lie between 13% and 25%, and even up to 65% in patients requiring mechanical ventilation [3], [6]. Miliary TB still faces diagnostic difficulties even in developed countries, sometimes leading to delays in initiating appropriate treatment, thus compromising the vital prognosis [4], [6], [7]. No studies on the description of clinical aspects of miliary TB have been conducted in Mauritania.…”