Tuberculose extrapulmonaire : toujours et encore !! !

Abid, R.; Hannachi, S.; Arfaoui, B.; Battikh, R.

doi:10.1016/j.medmal.2020.06.324

Cited by 1 publication

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“…In the United States, a preponderance of nodal forms (41%) was found [16]. This predominance of lymph node location had already been reported in Tunisian [13] and Senegalese [12] series. However, the predominance of serous localizations, mainly peritoneal in our series and in the Senegalese series of Diop et al [8], could be explained by the predominant gastroenterological orientation of these internal medicine departments.…”

Section: Discussionsupporting

confidence: 66%

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Profile of Extra-Pulmonary Tuberculosis in Internal Medicine

Dieng,

Sow,

Diédhiou

et al. 2024

OJIM

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Introduction: Tuberculosis is an infectious disease that mainly affects the lung. Extra-pulmonary localizations are a reason for hospitalization in our health facilities. The objective of this study was to describe the epidemiological, clinical, paraclinical and evolutionary aspects of extra pulmonary tuberculosis (EPT) at the Abass Ndao Hospital Center. Patients and Methods: This was a descriptive cross-sectional study conducted over a period of 11 years (January 1, 2010 to December 30, 2021). All patients with extrapulmonary tuberculosis hospitalized in the department of internal medicine during the recruitment period were included. Results: Fifty-two (52) patients were collected. The year 2019 recorded the most cases 23.08% (n = 20). The mean age of the patients was 40.56 ± 18.24 years. The age group 20 -34 years 42.31% (n = 22) was the most represented. Females were in the majority 61.54% (n = 32) with a sex ratio (M/F) was 0.63. Housewives were in the majority 40.38% (n = 21). 60.87% of the cases (n = 14) came from a health facility. 38.46% of the cases had been infected. 21.74% (n = 9) were smokers. The reasons for consultation were dominated by fever (67.44%), AEG (62.79%) and cough (41.86%). Eighteen patients (40.91%) had fever. The mean time to consultation was 77.37 ± 90.3 days with extremes of 3 and 365 days. The median was 45 days. More than half of the patients 61.90% (n = 26) had anemia. Positive retroviral serology was noted in 21.43% of cases. All patients had a CRP greater than 6. More than half of the patients 51.92% (n = 27) had multifocal tuberculosis. The peritoneum 44.23% (n = 23) was the main organ affected. The average hospital stay was 9.8 ± 4.9 days with extremes of 1 and 19 days. All patients had received the protocol in force at the national level. Death was noted in 4 patients (9.52%). Conclusion: EPT is characterized in our context by a notorious diagnostic difficulty due to the multiplicity of clinical presentations, the complexity of explorations, and the problems of

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Section: Discussionsupporting

confidence: 66%

“…In a Tunisian series of 135 cases of EPT, the sex ratio was 1.7 and the mean age was 66 years. Almost 31% of patients had at least one immunosuppressive factor at the time of diagnosis [13]. The overall importance of diabetes remains to be determined.…”

Section: Discussionmentioning

confidence: 99%