Un cas isolé de tuberculose appendiculaire

Abstract

La tuberculose est une affection qui sévit à l’état endémique dans notre pays, elle demeure un problème majeur de santé publique .la tuberculose appendiculaire primitive est une affection très rare. Nous rapportons le cas d'un patient de sexe masculin âgé de 17 ans, admis au service pour une prise en charge d'une douleur de la fosse iliaque droite évoluant dans un contexte fébrile avec conservation de l’état général posant le diagnostic d'une appendicite aigue. Une appendicectomie a été réalisée ; le compte rendu anatomopathologique était en faveur d'une tuberculose appendiculaire isolée. Le patient a été mis sous traitement anti-bacillaire complémentaire pendant neuf mois avec une bonne évolution clinique. Le diagnostic de tuberculose doit être évoqué en premier surtout dans les pays d'endémie tuberculeuse.

Ovarian tuberculosis mimicking a malignant tumour

“…The incidence of tuberculosis is rising as a result of HIV/AIDS infection with 9 million of new cases and 3 million of deaths in the world per year. [ 1 ] The extra-pulmonary form is in the order of 15-30% of cases. The pelvic form represents 6-10% of the cases, involving the fallopian tubes, the cervical and endometrial region in that order of frequency.…”

“…Tuberculosis is a deficiency that is increasing since the advent of HIV/AIDS with 9 million new cases and 3 million deaths in the world per year. [ 1 ] Its extra-pulmonary aspect is more and more dealt with. [ 2 ] Of these extra-pulmonary forms, the pelvic location precisely the genital has an imprecise incidence up to now.…”

Isolated and fistulized primary appendicular tuberculosis: when a great pretender disguises herself

“…Three routes of contamination are possible: hematogenous contamination, local extension or from contaminated sputum swallowed by patients with active pulmonary tuberculosis. 2,9 Appendicular tuberculosis has 3 anatomical forms: Chronic: characterized by a succession of chronically evolving waves of abdominal pain associated with vomiting and diarrhea, Latent: the appendix is macroscopically almost normal, the diagnosis is made by histology, Acute: the picture is that of a classic suppurated appendicitis. 9 Macroscopically, appendicular tuberculosis can be divided into 3 main aspects: Normal, Hypertrophic, pseudotumor and Ulcerated: which may be complicated by abscess, perforation or fistula.…”

“…2,9 Appendicular tuberculosis has 3 anatomical forms: Chronic: characterized by a succession of chronically evolving waves of abdominal pain associated with vomiting and diarrhea, Latent: the appendix is macroscopically almost normal, the diagnosis is made by histology, Acute: the picture is that of a classic suppurated appendicitis. 9 Macroscopically, appendicular tuberculosis can be divided into 3 main aspects: Normal, Hypertrophic, pseudotumor and Ulcerated: which may be complicated by abscess, perforation or fistula. 9 Tuberculosis must be suspected at the slightest doubt, even if the history does not reveal any notion of contagion.…”

Rare radiological features of abdominopelvic tuberculosis: A case report

“…Tuberculosis remains a major problem in healthcare systems. About 9 million new patients and 3 million deaths were reported in 2013 worldwide [1] . Tuberculosis is prevalent in the pulmonary form; extrapulmonary tuberculosis is less prevalent but more challenging.…”