Pott's disease in Abidjan: experience of the department of rheumatology of university teaching hospital of Cocody: about 420 cases.
Tunis Med
; 101(1): 19-25, 2023 Jan 03.
Article
en En
| MEDLINE
| ID: mdl-37682256
INTRODUCTION: Pott's disease continues to be rife primarily in ivorian's setting. This large-scale study presents the Ivorian experience in the management of this disease. AIM: To determine the epidemiological, clinical, paraclinical, therapeutic and evolutionary profile of Pott's disease in Abidjan and to identify the factors associated with neurological compressions. METHODS: Retrospective and analytical study of 420 files of patients suffering from presumptive or confirmed Pott's disease, hospitalized in the rheumatology department of Cocody University Hospital from January 2010 to December 2019. RESULTS: The hospital frequency of tuberculous spondylodiscitis was 10.2%. Our study population consisted of 223 men and 197 women with an average age of 43.8 ± 15.5 years. A tuberculosis history and a notion of tuberculosis contagion were noted in 4.3% and 13.8% of cases respectively. The mean diagnostic time was 9.67 ± 10.11 months. The main clinical data were spinal syndrome (98.80%) and also tuberculous impregnation signs (84.76%). Neurological complications were noted in 11.66% of cases. Bacilloscopy and PCR BK were positive in 33.71% and 57.14% of cases respectively. Computed tomography was the most requested and performed diagnostic imaging (92.86%). The associated tuberculous targets (11.2%) were visceral (78.70%), in particular pulmonary (75.67%). The mean duration of anti-tuberculosis treatment was 12.42 months with a cure of 97.14% of patients. Diagnostic delay (P = 0.01), gibbosity (P = 0.009), and presence of soft tissue abscesses (P = 0.004) were significantly associated with neurological compressions. CONCLUSION: Pott's disease is common in Abidjan and affects young adults. It manifests as a spinal syndrome with tuberculous impregnation signs. Computed tomography was the most performed diagnostic imaging. The factors associated with neurological compressions are: diagnostic delay, gibbosity and soft tissue abscesses.
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Colección:
01-internacional
Base de datos:
MEDLINE
Contexto en salud:
3_ND
Problema de salud:
3_neglected_diseases
/
3_tuberculosis
Asunto principal:
Reumatología
/
Tuberculosis de la Columna Vertebral
Tipo de estudio:
Diagnostic_studies
/
Observational_studies
/
Prognostic_studies
/
Risk_factors_studies
Límite:
Adult
/
Female
/
Humans
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Male
/
Middle aged
País/Región como asunto:
Africa
Idioma:
En
Revista:
Tunis Med
Año:
2023
Tipo del documento:
Article