Pneumonectomie pour poumon détruit post-tuberculeux : une série de 26 cas opérés

Issoufou, I.; Sani, Roberto; Belliraj, L.; Ammor, F.Z.; Ounteini, A. Moussa; Ghalimi, J.; Lakranbi, M.; Ouadnouni, Y.; Smahi, M.

doi:10.1016/j.pneumo.2016.07.001

Cited by 9 publications

(7 citation statements)

References 12 publications

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“…La prédominance du côté gauche à été décrit par plusieurs auteurs [ 16 , 17 ]. Cela pourrait s’expliquer par le fait que la bronche souche gauche est considérablement plus longue et plus étroite que la bronche souche droite et la région péri-bronchique gauche est limitée par la proximité de l’aorte.…”

Section: Discussionunclassified

“…Cela pourrait s’expliquer par le fait que la bronche souche gauche est considérablement plus longue et plus étroite que la bronche souche droite et la région péri-bronchique gauche est limitée par la proximité de l’aorte. A cet effet, cette bronche est plus sujette à un mauvais drainage et à une compression extrinsèque par des adénopathies adjacentes d’où la vulnérabilité du poumon gauche à la chronicité des infections [ 16 ]. En présence d’une caverne, le diagnostic bactériologique de tuberculose est aisé, l’étude de l’expectoration étant positive dans 98% des cas à l’examen direct [ 18 ].…”

Section: Discussionunclassified

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Particularités radiologiques de la tuberculose pulmonaire à microscopie positive au Service de Pneumologie du Centre Hospitalier National Universitaire de FANN (CHNUF), Dakar (Sénégal)

Kombila¹,

Kane²,

Mbaye³

et al. 2018

Pan Afr Med J

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L’objectif était de déterminer les différents aspects radiologiques de la tuberculose pulmonaire à microscopie positive. Il s’agissait d’une étude rétrospective, analysant les clichés de radiographies des patients atteints de tuberculose pulmonaire à microscopie positive entre le 15 Novembre 2015 et le 15 Mars 2016. Soixante-six dossiers répondant aux critères d’inclusion ont été sélectionnés, composé de 81,8% des hommes. La moyenne d’âge était de 37,5 ± 14,9 ans. Les différentes lésions parenchymateuses, étaient variables et dominées par les infiltrats dans 84,8% (IC95%; 73,9 – 92,4%) des cas, suivi du syndrome alvéolaire dans 68,2% (IC95%; 55,5 – 79,1%) des cas. Elles étaient extensives dans 71,2% (IC95%; 58,7 – 81,7%) des cas et bilatérales dans 45,4% (IC95%; 31,1 – 58,1%) des cas. Ces anomalies radiologiques survenaient dans 52,2% (IC95%; 36,9 – 67,1%) des cas chez les patients dénutrie. Dans 22,7% (IC95%; 13,3 – 34,7%) des cas il s’agissait d’un second épisode de tuberculose pulmonaire. La consommation régulière de tabac a été retrouvée chez 34,8% (IC95; 23,5 – 47,5%) des patients avec une consommation moyenne de 17PA (±11,3). Les rechutes tuberculeuses étaient plus fréquentes chez les patients qui avaient fumés versus les non-fumeurs respectivement dans 26,1% et 20,9% (p < 0,42). La sérologie rétrovirale profil 1, était positive dans 7,6% des cas. A travers cette étude, nous préconisons en zone d’endémie tuberculeuse d’orienter la démarche étiologique vers la recherche d’une tuberculose pulmonaire devant des images radiologiques infiltratives associées ou non à des lésions cavitaires chez un patient jeune, dénutrie et à fortiori fumeur.

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Section: Discussionunclassified

Particularités radiologiques de la tuberculose pulmonaire à microscopie positive au Service de Pneumologie du Centre Hospitalier National Universitaire de FANN (CHNUF), Dakar (Sénégal)

Kombila¹,

Kane²,

Mbaye³

et al. 2018

Pan Afr Med J

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“…The prevalence of CPA ranged from 6.3 to 13.7% in patients previously or currently being treated for tuberculosis [3], residual cavity is more susceptible to complications of chronic pulmonary as per gillosis (CPA) [4,5]. The most common symptom of pulmonary tuberculosis and CPA is hemoptysis [6][7][8][9], and massive hemoptysis is an indication of surgical treatment [2,[10][11][12]. Surgical treatment is also a necessary and important means for treating patients with multidrug resistant tuberculosis (MDR-TB) [11,13,14] or poor response to antifungal therapy [15].…”

Section: Introductionmentioning

confidence: 99%

The Efficacy and Safety of Surgical Treatment for Patients With Tuberculosis Destroyed Lung With or Without Chronic Pulmonary Aspergillosis

2021

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Background To evaluate the efficacy and safety of surgical treatment of tuberculosis destroyed lung (TDL), and the influence of chronic pulmonary aspergillosis (CPA) on the outcomes of surgical treatment of TDL. Methods We performed a retrospective analysis of 113 patients with TDL who underwent surgical treatment from January 2005 to December 2019. Among them, 30 of these cases were complicated with CPA. The patients were divided into two groups: TDL group and TDL + CPA group. We analyzed the effectiveness and safety of surgical treatment of TDL, and further compared the effectiveness and safety of surgical treatment of TDL with or withoutthe presence of CPA. Results The TDL + CPA group had a significantly higher age (P=0.003), symptoms of hemoptysis (P=0.000), and a higher proportion of patients with preoperative serum albumin <30 g/L (P=0.014) as compared with TDL group. For all enrolled patients, the incidence of severe postoperative complications was 12.4% (14/113) and the postoperative mortality within 30 days after discharge was 4.4% (5/113). 86.7% (98/113) of the patients recovered and discharged, the incidence of severe postoperative complications in the TDA + CPA group was higher than that of TDL group (23.3% vs 8.4%, P = 0.034), although there was no difference in mortality between the two groups (P = 1.000). A binary logistic regression analysis showed that the independent risk factors for severe postoperative complications were male (OR 25.24, 95% CI 2.31–275.64; P = 0.008) and age ≥ 40 years (OR 10.34, 95% CI 1.56–68.65; P = 0.016). Conclusion Surgical treatment for patients with TDL is effective with an acceptable mortality rate whether or not the disease is complicated with CPA. The independent risk factors identified for severe postoperative complications in patients with TDL were male and ≥ 40 years old. It implies that when treating patients with TDA + CPA, particular attention should be paid to these patients who have these independent risk factors to avoid a poor outcome.

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“…(Table 1). Seventeen (41.5%) studies were retrospective chart reviews [12][13][14][15][16][17][18][19][20][21][22][23][24][25][26][27][28], 12 (29.3%) were case reports [29][30][31][32][33][34][35][36][37][38][39][40], 5 case series (12.2%) [8,[41][42][43][44], 5 prospective cohorts [45][46][47][48][49], and 2 cross-sectional studies [50,51]. The majority of the studies were from East (n = 11) and West (n = 10) Africa.…”

Section: Summary Of Studiesmentioning

confidence: 99%

Mapping of Chronic Pulmonary Aspergillosis in Africa

Olum

Osaigbovo

Baluku

et al. 2021

JoF

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Africa has a high burden of tuberculosis, which is the most important risk factor for chronic pulmonary aspergillosis (CPA). Our goal was to systematically evaluate the burden of CPA in Africa and map it by country. We conducted an extensive literature search for publications on CPA in Africa using the online databases. We reviewed a total of 41 studies published between 1976 and 2021, including a total of 1247 CPA cases from 14 African countries. Most of the cases came from Morocco (n = 764, 62.3%), followed by South Africa (n = 122, 9.9%) and Senegal (n = 99, 8.1%). Seventeen (41.5%) studies were retrospective, 12 (29.3%) were case reports, 5 case series (12.2%), 5 prospective cohorts, and 2 cross-sectional studies. The majority of the cases (67.1%, n = 645) were diagnosed in men, with a median age of 41 years (interquartile range: 36–45). Active/previously treated pulmonary tuberculosis (n = 764, 61.3%), human immunodeficiency virus infection (n = 29, 2.3%), diabetes mellitus (n = 19, 1.5%), and chronic obstructive pulmonary disease (n = 10, 0.8%) were the common co-morbidities. Haemoptysis was the most frequent presenting symptom, reported in up to 717 (57%) cases. Smoking (n = 69, 5.5%), recurrent lung infections (n = 41, 3%) and bronchorrhea (n = 33, 3%) were noted. This study confirms that CPA is common in Africa, with pulmonary tuberculosis being the most important risk factor.

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Pneumonectomie pour poumon détruit post-tuberculeux : une série de 26 cas opérés

Cited by 9 publications

References 12 publications

Particularités radiologiques de la tuberculose pulmonaire à microscopie positive au Service de Pneumologie du Centre Hospitalier National Universitaire de FANN (CHNUF), Dakar (Sénégal)

Particularités radiologiques de la tuberculose pulmonaire à microscopie positive au Service de Pneumologie du Centre Hospitalier National Universitaire de FANN (CHNUF), Dakar (Sénégal)

The Efficacy and Safety of Surgical Treatment for Patients With Tuberculosis Destroyed Lung With or Without Chronic Pulmonary Aspergillosis

Mapping of Chronic Pulmonary Aspergillosis in Africa

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