[Contribution of radiography and repeat microscopy in the diagnosis of pulmonary tuberculosis in the hospital environment of Bamako].
WHO and IUAT-LD recommend repeated microscopy in order to improve the detection of contagious cases of pulmonary tuberculosis. Our aim was to determine the contributions of radiology and microscopy in the diagnosis of pulmonary tuberculosis. From January 1998 to April 1999 radiography and microscopy were performed for 275 patients who were admitted to the pneumology service. Pulmonary tuberculosis prevalence was higher among women aged 10 to 29 years than among men of the same age (p = 10(-6)). 188 (68.4%) women tested positive, 49 (17.8%) tested positive at the second microscopy and 1 (0.36%) at the the third. The main radiological lesions were nodules + infiltrats (46.2%), nodules + infiltrats + cavity (26.2%) and infiltrats + cavity (6.5%). Repeated microscopy significantly increased the proportion of pulmonary tuberculosis cases detected (from a prevalence 68.4% to 86.5%).
Kayantao
D
D
Service de pneumo-phtisiologie, Hôpital du Point G (HPG), BP 333, Bamako, Mali.
Maïga
I
I
Bougoudogo
F
F
Pouabé Tchameni
R
R
Koné
A
A
Diallo
S
S
Sissoko
B
B
M'Baye
O
O
Kéïta
B
B
Sangaré
S
S
D000293:Adolescent; D000328:Adult; D002648:Child; D005260:Female; D006679:HIV Seropositivity; D006801:Humans; D008297:Male; D008302:Mali / Q000453:epidemiology; D008853:Microscopy; D009169:Mycobacterium tuberculosis / Q000302:isolation & purification*; D011859:Radiography; D014374:Tuberculin Test; D014397:Tuberculosis, Pulmonary / Q000000981:diagnostic imaging* / Q000453:epidemiology / Q000382:microbiology*