[Peritoneal tuberculosis and HIV infection. Reflection apropos of 22 cases at the National Hospital of Bobo Dioulasso].
Peritonitis tuberculosis is still a frequently encountered pathology in our hospital. Since the AIDS pandemic, cases of peritonitis tuberculosis present increasingly atypical characteristics, largely diverging from classical descriptions. The authors report on 22 cases of peritonitis tuberculosis associated with HIV infection. The study was carried out from June 1997 to December 1999 in the National Hospital Centre Souro SANOU of the Bobo Dioulasso internal office. It concerned 10 women and 12 men of a mean age of 37.9 years. The sex-ratio was 1.2 in favour of men. Diagnosis was established by laparoscopy. Peritonitis tuberculosis associated with HIV accounted for 78.5% of peritonitis tuberculosis cases. The clinical picture was dominated by isolated ascite (100%) associated with an oscillating high fever in 68.2% of cases. Negative results for IDR seemed to reflect poor prognosis. Response to treatment was slow but acceptable. The general prognosis was poor with a mortality rate of 18%.
Sawadogo
A
A
Service de médecine interne, Centre hospitalier national Souro Sanou (CHNSS), 01 BP 676, Bobo Dioulasso, Burkina Faso. drsawadogo@yahoo.fr
Ilboudo
P
P
Ki-Zerbo
G A
GA
Peghini
M
M
Zoubga
A
A
Sawadogo
A
A
Lankoande
D
D
Millogo
A
A
Ouedraogo
I
I
D000293:Adolescent; D000328:Adult; D000368:Aged; D001201:Ascites; D002050:Burkina Faso / Q000453:epidemiology; D005260:Female; D005334:Fever; D015658:HIV Infections / Q000150:complications* / Q000175:diagnosis / Q000453:epidemiology; D006801:Humans; D010535:Laparoscopy; D008297:Male; D008875:Middle Aged; D014395:Peritonitis, Tuberculous / Q000150:complications* / Q000175:diagnosis / Q000453:epidemiology; D011379:Prognosis