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

作     者：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 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

作者机构：Faculty of Human and Health Sciences and The Renaissance University Teaching Hospital of N’Djamena N’Djamena Chad Faculty of Human and Health Sciences and The National Reference University Teaching Hospital of N’Djamena N’Djamena Chad 

出 版 物：《Journal of Tuberculosis Research》 (结核病研究（英文）)

年 卷 期：2022年第10卷第3期

页      面：160-169页

学科分类：1002[医学-临床医学] 100201[医学-内科学(含：心血管病、血液病、呼吸系病、消化系病、内分泌与代谢病、肾病、风湿病、传染病)] 10[医学] 

主　　题：Miliary Tuberculosis CHU-RN N’Djamena (Chad) 

摘      要：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.