Miliaire tuberculeuse : profil épidémioclinique et évolution

The Management Problem of Miliary Tuberculosis in the Service of Pneumo-Phtisiology at the National References University Teaching Hospital of N’Djamena (Chad): About 103 Cases

“…As an extension of assessment, 4.9% of our patients had leukocyturia and 3.8% Bouchout tubercles (Table 2). These results are consistent with that of literature including Bouchut tubercles which are a consequence of TM in the eye [11] [13] [26].…”

“…The X-ray chest is the only imaging examination was performed in all our patients. This result is similar to that of Ouattara et al [26] and Cherkaoui et al [12], and that could be explained by the lower cost and accessibility of X-rays chest, unlike other analyses. As an extension of assessment, 4.9% of our patients had leukocyturia and 3.8% Bouchout tubercles (Table 2).…”

“…In addition, the study shows that, the dominant respiratory functional signs were cough in 85.4% and dyspnea in 52.4% of cases (Table 2). This result corroborated with that of Ouattara et al [26] who found 86.2% in the 2 signs and slightly lower than that of Touré et al [13] who found cough was the main sign in 96% of cases. This high frequency of functional signs in our series could be explained by the fact that cough and dyspnea disturb the patient and those who living around them, thus motivating a consultation in our structure.…”

“…In our study, (91.3%) of our patients had impaired of general condition and (96.1%) from them had fever (Table 2). same observation was made by Mbouandi et al [25] in 2021 in Cameroon and Ouattara et al [26] in Mali in 2018 who found that 96.7% of patients had impaired of general condition and 44.6% of had fever, that could be explained by the patient's self-medication before their admission to different hospitals which would mask the symptomatology and also could be explained by the fact that fever and poor living condition are among the most frequent reasons for TM consultation. In addition, the study shows that, the dominant respiratory functional signs were cough in 85.4% and dyspnea in 52.4% of cases (Table 2).…”

“…In our study, images of pleurisy associated with miliaria were found in 2.9%. This result was lower than those of Hedhli et al [29] and Ouattara et al [26] who found 16.7% and 16.9% of them respectively. This could be explained by the size of the sample and by the particularity of the study of Hedhli et al [29] in the immunocompromised.…”