title: [Miliary tuberculosis: a report of 49 cases].
abstract: BACKGROUND
  Miliary tuberculosis is a severe, acute form of tuberculosis due to lymphohaematogenous dissemination of tubercle bacilli from a focal lesion.
  
  
  METHODS
  A prospective study of was undertaken at the Pneumology Clinic of the National University Hospital Centre (CHUN) of Fann, over a period of 30 months (January 2007-June 2009), in order to assess the epidemiological, clinical, paraclinical and evolutionary aspects of miliary tuberculosis.
  
  
  RESULTS
  Miliary tuberculosis accounted for 3.8% (n=49) of all diagnosed cases of tuberculosis. The sex-ratio was 1.7. The average age of patients was 37.5 years with a range of 15 to 70 years. The typical radiological appearances were present in 88% of cases whereas only 10% were positive on direct smear. HIV serology was positive in 29%. In the hospital environment, the mortality was 12.2%.
  
  
  CONCLUSIONS
  Miliary tuberculosis is a severe form of the disease. The prognosis depends on early diagnosis and treatment.
authors.affiliation: Service de pneumologie, CHN de Fann, Dakar, Sénégal. naftouba@yahoo.fr
authors.forename: N O
authors.initials: NO
authors.lastname: Touré
authors.forename: M F
authors.initials: MF
authors.lastname: Cissé
authors.forename: Y
authors.initials: Y
authors.lastname: Dia Kane
authors.forename: A
authors.initials: A
authors.lastname: Diatta
authors.forename: B
authors.initials: B
authors.lastname: Bouker Bakioui
authors.forename: E H M
authors.initials: EH
authors.lastname: Ndiaye
authors.forename: K
authors.initials: K
authors.lastname: Thiam
authors.forename: A A
authors.initials: AA
authors.lastname: Hane
mesh_terms: D017088:AIDS-Related Opportunistic Infections / Q000150:complications / Q000175:diagnosis* / Q000453:epidemiology* / Q000401:mortality; D000293:Adolescent; D000328:Adult; D000368:Aged; D000437:Alcoholism / Q000150:complications; D000995:Antitubercular Agents / Q000627:therapeutic use; D004359:Drug Therapy, Combination; D042241:Early Diagnosis; D005260:Female; D005938:Glucocorticoids / Q000627:therapeutic use; D006785:Hospitals, University; D006801:Humans; D016867:Immunocompromised Host; D015994:Incidence; D008297:Male; D008875:Middle Aged; D009169:Mycobacterium tuberculosis / Q000302:isolation & purification*; D011446:Prospective Studies; D012307:Risk Factors; D012675:Senegal / Q000453:epidemiology; D012907:Smoking / Q000009:adverse effects; D015996:Survival Rate; D016896:Treatment Outcome; D014391:Tuberculosis, Miliary / Q000175:diagnosis* / Q000188:drug therapy / Q000453:epidemiology* / Q000382:microbiology / Q000401:mortality
chemical_list: D000995:Antitubercular Agents; D005938:Glucocorticoids