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Analysis of 18FDG PET/CT Imaging as a Tool for Studying Mycobacterium tuberculosis Infection and Treatment in Non-human Primates
Published on: September 5, 2017
Cutaneous tuberculosis in Tunisia.
R Abdelmalek1, A Mebazaa, A Berriche
1Service des maladies infectieuses, faculté de médecine de Tunis, université Tunis EL Manar, hôpital la Rabta, Tunis, Tunisia.
Medecine Et Maladies Infectieuses
|July 24, 2013
Summary
Cutaneous tuberculosis (CT) remains a concern in Tunisia, often presenting as scrofuloderma, particularly on the head and neck. Diagnosis primarily relies on histology, and effective management requires controlling tuberculosis, especially lymph node involvement.
Area of Science:
- Infectious Diseases
- Dermatology
- Public Health
Background:
- Tuberculosis is endemic in Tunisia, with pulmonary TB being most common.
- Cutaneous tuberculosis (CT) is rare (1-2%), presenting diagnostic challenges due to varied clinical and histological features.
- Differential diagnoses are numerous, and isolating Mycobacterium can be difficult.
Purpose of the Study:
- To investigate the epidemiological and clinical characteristics of CT in Tunisia.
- To compare CT presentations before and after 1990.
Main Methods:
- A retrospective study was conducted from January 1991 to December 2011.
- Cases of CT were identified from the Infectious Diseases and Dermatology Units at Tunis la Rabta Hospital.
- 137 patients were included in the analysis.
Main Results:
- The study included 137 patients (72.3% female, mean age 43.8 years).
- 150 cutaneous lesions were observed, predominantly on the head and neck.
- Scrofuloderma was the most frequent CT presentation (65%), confirmed by histology/microbiology in 75.8% of cases.
Conclusions:
- Cutaneous tuberculosis continues to be reported in Tunisia.
- Histological examination is crucial for CT diagnosis.
- Controlling CT necessitates overall tuberculosis control, particularly addressing lymph node involvement due to the high incidence of scrofuloderma.
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