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[Extrapulmonary tuberculosis versus pulmonary tuberculosis: epidemiological, diagnosis and evolutive aspects]
K B Ossalé Abacka1, A Koné2, O Akoli Ekoya3
1Service de pneumologie, centre hospitalier universitaire de Brazzaville, 186, rue Saint-Paul Talangai, Brazzaville, République populaire du Congo; Service de pneumo-phtisiologie, centre hospitalier et universitaire de Cocody, Abidjan, Côte-d'Ivoire.
Revue De Pneumologie Clinique
|November 18, 2018
Summary
Extra-pulmonary tuberculosis (PET) disproportionately affects older adults and HIV-positive individuals, unlike pulmonary tuberculosis (PT) which impacts younger adults. Both forms of tuberculosis respond well to treatment.
Area of Science:
- Public Health
- Infectious Diseases
- Epidemiology
Background:
- Tuberculosis (TB) is a persistent global health challenge.
- Geographic and demographic factors influence TB manifestation.
- Understanding differences between pulmonary tuberculosis (PT) and extra-pulmonary tuberculosis (PET) is crucial for targeted interventions.
Purpose of the Study:
- To investigate factors associated with the diagnosis and progression of extra-pulmonary tuberculosis (PET) compared to pulmonary tuberculosis (PT).
- To analyze demographic and clinical differences between PET and PT patients.
- To inform public health strategies for TB control in Adjame, Ivory Coast.
Main Methods:
- Retrospective comparative study.
- Inclusion of tuberculosis cases from January 2010 to December 2012.
- Analysis of diagnostic and evolutive aspects of PET versus PT.
Main Results:
- Older individuals were more affected by PET, while younger adults had PT.
- PET cases were more prevalent in HIV-positive individuals, whereas PT cases were more common in HIV-negative individuals.
- Higher proportion of new cases observed in PET patients compared to PT patients.
Conclusions:
- Significant demographic and clinical differences exist between PET and PT.
- Age and HIV status are key differentiating factors.
- Both PT and PET demonstrate positive treatment responses, highlighting the importance of timely diagnosis and management.
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