[Tuberculosis in a Parisian pneumology department: 151 cases].
OBJECTIVE
The incidence of tuberculosis has risen since 1992. We studied cases observed in our department to search for factors favouring this increased incidence.


METHODS
A retrospective assessment of 151 cases of tuberculosis observed over a 3 year period in a department of pneumology in Paris was performed.


RESULTS
Fifty-two percent of the patients were foreigners; 66% lived in a poor socio-economic environment included 18% with no permanent residence; 29% were alcoholics. An association with human immunodeficiency virus infection was seen in 7% of the cases. Another immunodepression factor was found in 15%. Tuberculosis was discovered in a context of respiratory distress in 7% or the patients. Outcome was fatal in 6%. Three months after diagnosis 22% of the patients were lost to follow-up.


CONCLUSIONS
This series emphasizes the major role of socio-economic factors in the rising incidence of tuberculosis and the need for urgent and adapted measures for therapeutic management in an often non-compliant and socially instable population.
Bréchot
J M
JM
Service de Pneumologie, Laboratoire de Microbiologie (AB), Hôtel-Dieu, Paris.
Fiscel
C
C
Stélianides
S
S
Bouvet
A
A
Rochemaure
J
J
D017088:AIDS-Related Opportunistic Infections / Q000150:complications / Q000188:drug therapy / Q000453:epidemiology*; D000163:Acquired Immunodeficiency Syndrome / Q000150:complications*; D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D000904:Antibiotics, Antitubercular / Q000627:therapeutic use; D005260:Female; D005602:France / Q000453:epidemiology; D006757:Hospital Units; D006801:Humans; D015994:Incidence; D008297:Male; D008875:Middle Aged; D012189:Retrospective Studies; D012959:Socioeconomic Factors; D014388:Tuberculosis, Lymph Node / Q000150:complications / Q000188:drug therapy / Q000453:epidemiology*; D014396:Tuberculosis, Pleural / Q000150:complications / Q000188:drug therapy / Q000453:epidemiology*; D014397:Tuberculosis, Pulmonary / Q000150:complications / Q000188:drug therapy / Q000453:epidemiology*
D000904:Antibiotics, Antitubercular
La tuberculose dans un service de pneumologie parisien: 151 cas.