Revue des maladies respiratoires · 2011
[Miliary tuberculosis: a report of 49 cases].
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Touré N O, Cissé M F, Dia Kane Y, Diatta A, Bouker Bakioui B, Ndiaye E H M, Thiam K, Hane A A
Аннотация
INTRODUCTION: Miliary tuberculosis is a severe, acute form of tuberculosis due to lymphohaematogenous dissemination of tubercle bacilli from a focal lesion.
PATIENTS AND METHODS: A prospective study of was undertaken at the Pneumology Clinic of the National University Hospital Centre (CHUN) of Fann, over a period of 30 months (January 2007-June 2009), in order to assess the epidemiological, clinical, paraclinical and evolutionary aspects of miliary tuberculosis.
RESULTS: Miliary tuberculosis accounted for 3.8% (n=49) of all diagnosed cases of tuberculosis. The sex-ratio was 1.7. The average age of patients was 37.5 years with a range of 15 to 70 years. The typical radiological appearances were present in 88% of cases whereas only 10% were positive on direct smear. HIV serology was positive in 29%. In the hospital environment, the mortality was 12.2%.
CONCLUSION: Miliary tuberculosis is a severe form of the disease. The prognosis depends on early diagnosis and treatment.
PATIENTS AND METHODS: A prospective study of was undertaken at the Pneumology Clinic of the National University Hospital Centre (CHUN) of Fann, over a period of 30 months (January 2007-June 2009), in order to assess the epidemiological, clinical, paraclinical and evolutionary aspects of miliary tuberculosis.
RESULTS: Miliary tuberculosis accounted for 3.8% (n=49) of all diagnosed cases of tuberculosis. The sex-ratio was 1.7. The average age of patients was 37.5 years with a range of 15 to 70 years. The typical radiological appearances were present in 88% of cases whereas only 10% were positive on direct smear. HIV serology was positive in 29%. In the hospital environment, the mortality was 12.2%.
CONCLUSION: Miliary tuberculosis is a severe form of the disease. The prognosis depends on early diagnosis and treatment.
Предметные рубрики MeSH
AIDS-Related Opportunistic InfectionsAdolescentAdultAgedAlcoholismAntitubercular AgentsDrug Therapy, CombinationEarly DiagnosisFemaleGlucocorticoidsHospitals, UniversityHumansImmunocompromised HostIncidenceMaleMiddle AgedMycobacterium tuberculosisProspective StudiesRisk FactorsSenegalSmokingSurvival RateTreatment OutcomeTuberculosis, Miliary