Aspect radiologique de la tuberculose de hanche : a propos d'un cas tardivement diagnostique

Les auteurs rapportent un cas didactique de tuberculose isolee de la hanche tardivement diagnostique chez un adulte jeune de 34 ans; explore et traite a l'Hopital General de Yaounde. La tomodensitometrie a ete suggestive et a permis de faire le bilan complet des lesions articulaires et peri-articulaires. Le traitement d'epreuve anti-tuberculeux a confirme a posteriori le diagnostic. Les auteurs soulignent l'interet de scanner dans le diagnostic lesionnel; le bilan topographique et la surveillance post-therapeutique de la coxalgie

Radiographic aspects of pulmonary tuberculosis in the adult in Yaounde; Cameroon

Radiographic aspects of newly detected and previously untreated pulmonary tuberculosis in 273 consecutive adult patients admitted into the chest unit of the Jamot Hospital in Yaounde over an 8 month period were reviewed. None of the patients had a normal admission chest X-ray image. Lesions localized only in the upper lung fields were seen in 21.3 percent of the cases. In contrast; 64.1 percent of the patients presented with a far advanced and extensive disease characterized by infiltrates with or without cavities occupying a whole lung field or more. Cavitary disease predominantly made of multiple large cavities was observed in 77.7 percent of the cases. Atypical images including pleural effusion; parenchymal nodules; lymphadenopathy and lower lung field disease were uncommon. Despite recent studies suggesting that pulmonary tuberculosis is presenting with atypical radiographic features more commonly than reported in the past; the chest X-ray manifestations of pulmonary tuberculosis in the series were predominantly characterized by a far advanced disease with multiple large cavities

La pleurasie tuberculeuse a Yaounde; Cameroun : aspects cliniques; radiologiques et biologiques

Les aspects radio-cliniques et paracliniques de la pleurasie tuberculeuse ont ete etudies chez 51 malades a Yaounde pendant une periode d'un an. La pleurasie tuberculeuse representait 60;7 pour cent de l'ensemble des causes d'epanchement peural observe pendant la meme periode chez des malades hospitalises et externes. Le debut de la pleurasie etait insidieux dans 90;2 pour cent des cas et les principaux symptomes fonctionnels etaient la toux; la douleur thoracique et la dyspnee