ABSTRACT
Background: The Niger Delta region in Southern Nigeria is peculiar; not only for its oil and mineral resources; but also; for the adverse socio-environmental factors; which enhance the occurrence of communicable diseases like tuberculosis and Human Immunodeficiency virus (HIV) infection. Because childhood tuberculous infection is a reflection of ongoing transmission in the community and can be reactivated as adult TB; which in turn maintains a chain of transmission; it is important to determine its incidence in this region. Aims: To describe the pattern of paediatric tuberculosis at the University of Port Harcourt Teaching Hospital (UPTH); Port Harcourt; in the Niger Delta and the role; if any; of HIV co-infection in the cases. Methods: A retrospective analysis of children diagnosed to have tuberculosis; using clinical data; tuberculin test and chest radiography; and managed at the UPTH from January 1; 2002 to October 31; 2005 was done. Results: Out of 13;367 children aged 0-15 years who received care at UPTH during the period under review; 188 had tuberculosis. The median age of the tuberculosis cases was 2 years. Seventy six percent were under-fives and 53.2HIV seropositive. Pulmonary tuberculosis (80.6) was the commonest form of the disease. The proportional incidence of tuberculosis and HIV co-infection increased from 0.88in 2002 to 87.5in 2005. Conclusions: Tuberculosis and HIV co-infection seems to be an emerging pattern of paediatric tuberculosis infection in Port Harcourt. There is therefore a need to screen all children with tuberculosis for the presence of HIV co-infection
Subject(s)
Child , HIV Seropositivity , Tuberculosis/etiologyABSTRACT
Quinze cas de lesions anales tuberculeuses; colliges sur une periode de sept ans; sont rapportes dans ce travail. Les aspects etiologiques et pathogeniques sont passes en revue. Tous les cas concernent des sujets jeunes de sexe masculin. Si dans onze cas le diagnostic etait facile; dans le contexte de tuberculose pulmonaire; dans quatre cas la lesion etait primitive. Sur le plan diagnostique; la nature tuberculeuse etait authentifiee; quatorze fois par l'etude histologique et une fois par la bacteriologie. L'evolution n'est pas toujours favorable puisque dans cinq cas on note une incontinence anale; soit iatrogene par chirurgie iterative en raison de redicives; soit due a un processus tuberculeux destructeur
Subject(s)
Anus Diseases , Tuberculosis , Tuberculosis/etiology , Tuberculosis/pathologyABSTRACT
L'etude porte sur 28 cas de tuberculose peritoneale observes chez l'adulte au C.H.N.U. de Cotonou. Cette maladie; dont la prevalence hospitaliere est estimee a 1 pour cent; atteint les grands adolescents et les adultes jeunes de conditions socio-economiques modestes. Les formes cliniques sont dominees par la peritonite tuberculeuse chronique asciatique (17 cas); suivie de la tuberculose peritoneale subaigue (9 cas); les formes aigues pseudo chirgicales sont rares (2 cas). Le diagnostic se fonde essentiellement sur le contexte clinique; les caracteres du liquide d'ascite; le test therapeutique et les donnees de la laparatomie ou de la laparoscopie. L'evolution sous traitement specifique est toujours favorable. Enfin; sont evoquees les raisons de la persitance de l'endemie tuberculeuse