TITLE:
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
AUTHORS:
Mahamat Ali Bolti, Rangar Ngakoutou, Abdoulaye Ahmet, Mad-Toingue Joseph, Dluida Dieudonné, Lodoum Mbainadji, Josephine Toralta, Meurde Nemian, Lucien Allawaye, Koboye Bonté Adjougoulta, Yusra Aboulbachar, Hamit Mahamat Alio
KEYWORDS:
Miliary Tuberculosis, CHU-RN, N’Djamena (Chad)
JOURNAL NAME:
Journal of Tuberculosis Research,
Vol.10 No.3,
September
29,
2022
ABSTRACT: Introduction: Miliary tuberculosis (MT) is a rare form of
tuberculosis (TB) and it is a major public health
problem in our countries with limited resources. Materials and Methods: It is a
retrospective and descriptive study that started from 1st January 2018 to 31 December
2020 at the pneumo-phtisiology service of the CHU-RN of N’Djamena., All
records of patients aged at least 15 years treated for miliary tuberculosis
confirmed by X-ray chest were included in our study. Results: The
prevalence of TD was 1.5% (n = 103) of all TB diagnosed in the service. The sex
ratio was 1.34. The average age was 37.7 years with extremes ranging from 19 to
80 years. A low social economic level was found in 75.7%. The principal
comorbidity found in this study was HIV with the prevalence of
(22.3%). The general signs were dominated by deterioration of general condition
(96.1%) and fever (91.3%). The main symptoms were cough (85.4%) and dyspnea
(52.4%). The radiology of chest found a
homogeneous dissemination and symmetrical in both lung fields in 100% of cases.
Our study reported that 14 (13.6%) of death cases were found among patients. Conclusion: TM is a severe form of TB; it affects a young population in our context.
Mortality remains high with prevalence of 13.6% of cases. Early management
would improve the prognosis.