[Miliary tuberculosis in children. Report of 89 cases in the pediatric department, Abidjan ].
The HIV pandemic has led a resurgence of tuberculosis which did reach developing as well as developed countries. In Côte d'Ivoire, tuberculosis represented 40-50 per cent of HIV opportunist infections. The incidence rate of this infection, in 2004 was 110/100,000 inhabitants all type of tuberculosis together. As we know, a few studies haven't been devoted to child military pulmonary tuberculosis. Our objectives in this study are to precise circumstances of diagnosis, to assess treatment of the miliary tuberculosis to children below 15 years, to analyze evolving aspects of military tuberculosis. Retrospective study of medical hill of children center anti tuberculosis from 1st December 1999 to 31st December 2002. In the result, miliary tuberculosis is the third extra pulmonary tuberculosis, and concerns children from 6 to 11 years leaving in the social precarious the age where miliary tuberculosis is the most frequent. HIV seroprevalence rate is 40.62 per cent Clinical signs are: Cough expectoration and impregnation signs among which first have fever, weight loss. The radiological signs are opacity in the shape of seeds of millet. The treatment is efficacy if it is correctly administered.


CONCLUSIONS
Diagnostic of miliary pulmonary tuberculosis is essentially radiologic. The rate of cure of 94% could be improved if health authorities, population and the government combine their efforts to struggle against tuberculosis.
UFR des Sciences Médicales d'Abidjan, Centre Hospitalier et Universitaire de Cocody, Département mere- enfant, Service de Pédiatrie, 25 BP 757 Abidjan 25, Côte d'Ivoire. folquetamorissani@hotmail.com
M
M
Folquet Amorissani
J C
JC
Gauze
C
C
Kouakou Kouamé
M E
ME
Dainguy
D
D
Diomandé
Y
Y
Houénou-Agbo
J
J
Kouamé Konan
D000293:Adolescent; D002648:Child; D002675:Child, Preschool; D007560:Cote d'Ivoire / Q000453:epidemiology; D005260:Female; D015658:HIV Infections / Q000453:epidemiology; D006801:Humans; D007223:Infant; D008297:Male; D012189:Retrospective Studies; D014391:Tuberculosis, Miliary / Q000175:diagnosis / Q000453:epidemiology*