Extrapulmonary Tuberculosis at the Sylvanus Olympio University Hospital Center
Kodjo Agbeko Djagadou
*
Department of Internal Medicine, Faculty of Health Sciences, University of Lomé, Togo.
Lihanimpo Djalogue
Department of Internal Medicine, Faculty of Health Sciences, University of Kara, Togo.
Abou-bakari Tchala
Department of Internal Medicine, Faculty of Health Sciences, University of Lomé, Togo.
Platini Ngassu
Department of Internal Medicine, Faculty of Health Sciences, University of Lomé, Togo.
Mohaman Awalou Djibril
Department of Internal Medicine, Faculty of Health Sciences, University of Lomé, Togo.
*Author to whom correspondence should be addressed.
Abstract
Objective: describe the epidemiological, clinical, paraclinical and therapeutic aspect of extrapulmonary tuberculosis at Centre Hospitalier Universitaire Sylvanus Olympio in Lomé.
Methodology: This was a retrospective and descriptive study over a period of 4 years, from November 2019 to October 2023, of extrapulmonary tuberculosis cases diagnosed at CHU SO in Lomé, and put on treatment.
Results: We identified 132 cases of extrapulmonary tuberculosis during this period. The average of age of patients was 43.39 years old, with the extreme of 4 and 85 years. Low socioeconomic level was found on 65.2 % of patients. An history of tuberculosis contamination was found on 4.6 % of patients. On the 132 patients of our study, 31 performed BCG vaccination. An HIV infection was found on 21.2 %. In our study, loss of weight was found on 94 patients and 60 patients had vesperal fever. In our study the main localization was osteoarticular with 53.0 %. The diagnosis was presumptive in 78.8 % of cases. A confirmation diagnosis was most often histological (12.1 %). All our patients received a standard antituberculosis treatment, RHEZ during the initial phase. We noticed 3.0 % of death with a significative association with HIV infection.
Conclusion: Extrapulmonary tuberculosis concerns all groups of age. Immunodepression favors its development. Its diagnosis is most often presumptive.
Keywords: Pott’s disease, HIV, diagnosis tools, Lomé (Togo)