Pneumothorax spontané : à propos de 70 cas

Nacef, L.; Hadjer, N.; Lehachi, A.; Abdellali, N.; Kheloui, Y.; Abderrahim, S.; Saighi, O.

doi:10.1016/j.rmr.2011.10.289

Cited by 2 publications

(4 citation statements)

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“…Dyspnea was noted in 68.12% of patients, a result comparable to the study by Bouyste in Rabat (62%) [43]. In contrast, Nacef in Algiers and Toure in Dakar reported frequencies of 26.3% and 20.8%, respectively [47,26].…”

Section: Clinical Aspectssupporting

confidence: 80%

“…Contrariwise, Majdoub [40] in Tunisia reported a frequency of less than 53.6%. Similar trends were provided by Nacef [47] in Algeria and Tidjani [32] in Togo, with frequencies of 13.5% and 19.5% respectively. Physical examination highlights the relative contrast between the importance of functional symptomatology and the discretion of physical signs.…”

Section: Clinical Aspectssupporting

confidence: 73%

“…However, Majdoub [40] reported a mortality rate of 7%. Elsewhere, Marniche [49] and Nacef [47] recorded a lower rate of 2% and 3.3% respectively. The high mortality must be interpreted with caution, as mortality increases with age.…”

Section: Outcomementioning

confidence: 90%

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Pulmonary Tuberculosis in the Elderly: Epidemiological, Clinical, and Evolutionary Aspects

Ngom N F,

Mbaye B R,

Ndiaye A

et al. 2024

AJRID

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Aims: this study aimed to investigate the epidemiological, clinical, and evolutionary aspects of pulmonary tuberculosis in the elderly and to determine the factors associated with death. Study Design: This was an exhaustive, descriptive, and analytical retrospective study. Place and Duration of Study: Pneumo-phtisiology department of Fann National Teaching Hospital Center over three years, from January 1, 2019, to December 31, 2021. Methodology: This was a study using medical records of patients aged 60 and over hospitalized in the pneumo-phtisiology department. Data were collected on a pre-established from patient medical records entered with Microsoft Excel 2019 software. Data analysis was performed with Statistical Package for Sciences Socials (SPSS) version 18 Results: we collected 620 medical records of hospitalized patients aged 60 and over, 69 of whom were diagnosed with pulmonary tuberculosis, standing for a prevalence of 11.12%. The average age was 67.13 [60;85] years, with a sex ratio of 3.92. The 60 to 65 age group was the most represented (n=36 or 52.17%). Smoking and alcoholism were frequent, 82% and 17.4% respectively. A previous history of TB infection was found in 23.19% of cases and TB contagion in 20.3% of cases. An underlying condition was at least observed in 50.72% of patients, dominated by diabetes (29%) and hypertension (23%). Co-infection with HIV-1 and tuberculosis was found in 2 patients (3%). The time to consultation was 75 days [3-180 days]. Symptomatology was polymorphic, dominated by cough (n=65; 94.20%), altered general condition (n=63; 91.30%), sputum (n=58; 84.06%), fever (n=53; 76.81%) and dyspnea (n=47; 68.12%). 46 patients (66.7%) had a BMI < 18.5 kg/m2. Physical signs were dominated by pulmonary condensation (n=52; 75.36%), and a fold of undernutrition was noted in 21.74% of cases. Microbiological evidence was 92.75% and 64 patients (92.75%) were susceptible to rifampin. A rifampin-resistant strain was detected in 5 patients (7.25%) hospitalized in the MDR-TB unit. CRP (75.36%), anemia (68.18%), hyperleukocytosis (47.7%), and hyponatremia (27.54%) were the most frequent biological signs. Alveolar syndrome (n=48 or 70%) and cavitary images (n=34 or 50%) were most frequently found on lung radiography, and for those who benefited from thoracic CT (n=36 or 52.17%), cavitary images were found in 24 cases (66.66%). Pulmonary embolism (n=9 cases, i.e. 40.9%), superinfection (n=4), and excessive hemoptysis (n=3) were the most frequent complications. The mean length of hospital stay was 17 days [3-58 days]. The 2RHZE/4RH protocol was used for 87%. Two patients were placed on a second-line anti-tuberculosis treatment protocol. Treatment was not specified in 7 patients (10.14%). The progression was favorable in 48 patients (69.56% of cases), with a case fatality rate of 30.44%. Dyspnea, chest pain, anemia, hyperleukocytosis, and hyponatremia were associated with the risk of death. Conclusion: The elderly are particularly exposed to tuberculosis, due to physiological aging of the immune system and co-morbidities. This study highlighted the diagnostic and evolutionary particularities of pulmonary tuberculosis in the elderly, as well as the associated fatal factors.

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Section: Clinical Aspectssupporting

confidence: 80%

Section: Clinical Aspectssupporting

confidence: 73%

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Pulmonary Tuberculosis in the Elderly: Epidemiological, Clinical, and Evolutionary Aspects

Ngom N F,

Mbaye B R,

Ndiaye A

et al. 2024

AJRID

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“…Dans notre étude, le tableau clinique est dominé par la douleur thoracique (92% des cas) et la dyspnée (60% des cas). Dans l’étude de l’équipe de l’hôpital de Blida-Algérie [ 19 ] le maitre symptôme est la douleur thoracique qui est notée dans 90% des cas suivi par la dyspnée dans 57,1% des cas. Dans celle de Fettal.…”

Section: Discussionunclassified

La prise en charge du pneumothorax spontané: à propos de 138 cas

Habibi¹,

Achachi²,

Hayoun³

et al. 2017

Pan Afr Med J

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Le pneumothorax est définit par la présence d’air dans la cavité pleurale. L’objectif de notre étude rétrospective du pneumothorax spontanés au servie de pneumologie à l’hôpital Ibn Sina rabat (2009-2011) est de déterminer le profil épidémiologique, clinique, radiologique, thérapeutique et évolutif. Il s’agit de 138 patients: 128 hommes et 10 femmes (17 à 83 ans), un âge moyen de 44,5 +/- 17,4 ans; sexe ratio 12/8. Le tabagisme est noté chez 81,2%. La symptomatologie clinique est la douleur thoracique (92%), la dyspnée (60%). Et sur la radiographie thoracique: on trouve un PNO (pneumothorax) unilatéral total (110 cas); partiel (10 cas); localisé (6 cas); bilatéral (4 cas); à droite dans 51,4% et à gauche dans 45,7%. On a recensé 70% de pneumothorax spontanés primitifs et 30% de PNO secondaire à (BPCO 44%, et tuberculose pulmonaire 39%). La prise en charge initiale est l’hospitalisation de tous les patients : le drainage thoracique (95%), l’exsufflation à l’aiguille (1%). Le repos et l’O2 (4%). Le retour du poumon à la paroi a été obtenu avant 10 jours chez 63%. L’évolution est favorable chez 89%. Et les complications immédiates: l’emphysème sous cutané (5 cas); une infection (6 cas) et 3 décès (arrêt cardio-respiratoire); les complications à distance sont les récidives dans 11,6%; une 1ère récidive chez 13 cas (drainage thoracique chez 11 cas et oxygénothérapie chez 2 cas) et une 2ème récidive chez 3 cas (recours à la chirurgie). Ce travail montre l’intérêt du drainage thoracique et la surveillance dans la prise en charge du pneumothorax pour éviter les complications et surtout pour éviter les récidives avec un éventuel recours à la chirurgie.

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Pneumothorax spontané : à propos de 70 cas

Cited by 2 publications

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Pulmonary Tuberculosis in the Elderly: Epidemiological, Clinical, and Evolutionary Aspects

Pulmonary Tuberculosis in the Elderly: Epidemiological, Clinical, and Evolutionary Aspects

La prise en charge du pneumothorax spontané: à propos de 138 cas

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