[Ear tuberculosis concomitant with pulmonary localization in an HIV-immunosuppressed patient, in Bamako, Mali]. / Tuberculose auriculaire concomitante à une localisation pulmonaire chez un patient immunodéprimé par le VIH, à Bamako, Mali.
Med Trop Sante Int
; 3(4)2023 12 31.
Article
in Fr
| MEDLINE
| ID: mdl-38390009
ABSTRACT
Introduction/Rationale Tuberculosis remains a major public health issue. It is an opportunistic pathology, very common in HIV-immunocompromised persons, classifying it at the WHO stage 4. Ear tuberculosis remains a rare and under-diagnosed clinical form. We report here a case of ear tuberculosis concomitant with pulmonary localization in an HIV-immunosuppressed person on triple antiretroviral therapy aged 32 years hospitalized in Bamako (Mali) to discuss the diagnostic and therapeutic difficulties posed by this rare localization. Description of the case The patient had a chronic productive cough, otalgia and right chronic purulent otorrhea. The search for acid-resistant bacilli was positive for direct examination in gastric casing fluid and swabbing of the ear pus, confirming the diagnosis of tuberculosis. Anti-tuberculosis treatment instituted for 6 months associated with adjuvants resulted in complete healing of the patient. Discussion/conclusion:
Although rare, ear localization must be actively sought. Etiological treatment must be instituted upon confirmation of the diagnosis to avoid complications and sequelae.Key words
Full text:
1
Collection:
01-internacional
Database:
MEDLINE
Main subject:
Otitis
/
Tuberculosis
/
HIV Infections
/
Immunocompromised Host
/
Coinfection
Limits:
Humans
Country/Region as subject:
Africa
Language:
Fr
Journal:
Med Trop Sante Int
Year:
2023
Document type:
Article
Affiliation country:
Mali
Publication country:
FR
/
FRANCE
/
FRANCIA
/
FRANÇA