title: [Non-tuberculous pleural infections versus tuberculous pleural infections].
abstract: BACKGROUND
  In countries where tuberculosis is endemic, the main differential diagnosis for pleural infection by common bacteria is pleural tuberculosis.
  
  
  OBJECTIVE
  The purpose of our study was to determine the differences between pleural infection by common bacteria and that caused by pleural tuberculosis.
  
  
  METHODS
  Our study was a retrospective analysis and compared the characteristics of confirmed pleural infection by common bacteria (PIB) and that due to pleural tuberculosis (PT).
  
  
  RESULTS
  For the PIB, the signs evolved for 2.4 ± 1.4 weeks versus 5.6 ± 2.2 weeks for the PT (P=0.01). In multivariate analysis, for PIB the onset of symptoms was more abrupt (OR=3.8 [1.5; 9.9]; P=0.01), asthenia was less frequent (OR=0.3 [0.1; 0.9]; P=0.03), pleural liquid was more purulent (OR=40.0 [15.0; 106.7]; P<0.01). The blood neutrophil count was more frequently raised in cases of PIB (OR=2.5 [1.2; 5.4]; P=0.02). Pneumothorax/hydropneumothorax was less frequent in PIB (OR=0.3 [0.1; 1.0]; P=0.04).
  
  
  CONCLUSIONS
  Clinical differences exist between pleural effusions caused by tuberculosis (TB) and those due to other bacterial infections. However, they are not sufficiently sensitive and therefore the search for the tuberculous bacillus must be systematic while waiting for implementation of new diagnostic tests for the organism.
authors.affiliation: UFR des sciences médicales de l'université de Cocody, service de pneumologie, CHU de Cocody, BP 582, Abidjan cedex 03, Côte d'Ivoire. kigninlmanh@yahoo.fr
authors.forename: K
authors.initials: K
authors.lastname: Horo
authors.forename: A
authors.initials: A
authors.lastname: N'Gom
authors.forename: B
authors.initials: B
authors.lastname: Ahui
authors.forename: C
authors.initials: C
authors.lastname: Brou-Gode
authors.forename: J-C
authors.initials: JC
authors.lastname: Anon
authors.forename: A
authors.initials: A
authors.lastname: Diaw
authors.forename: P
authors.initials: P
authors.lastname: Bemba
authors.forename: K
authors.initials: K
authors.lastname: Foutoupouo
authors.forename: H
authors.initials: H
authors.lastname: Djè Bi
authors.forename: P
authors.initials: P
authors.lastname: Ouattara
authors.forename: B
authors.initials: B
authors.lastname: Kouassi
authors.forename: N
authors.initials: N
authors.lastname: Koffi
authors.forename: E
authors.initials: E
authors.lastname: Aka-Danguy
mesh_terms: D000293:Adolescent; D000328:Adult; D000465:Algorithms; D001424:Bacterial Infections / Q000150:complications / Q000175:diagnosis* / Q000453:epidemiology / Q000209:etiology; D007560:Cote d'Ivoire / Q000453:epidemiology; D003937:Diagnosis, Differential; D005260:Female; D006760:Hospitalization / Q000706:statistics & numerical data; D006801:Humans; D006872:Hydropneumothorax / Q000175:diagnosis / Q000453:epidemiology / Q000209:etiology; D008297:Male; D008875:Middle Aged; D009169:Mycobacterium tuberculosis / Q000502:physiology; D010995:Pleural Diseases / Q000150:complications / Q000175:diagnosis* / Q000453:epidemiology* / Q000209:etiology; D010996:Pleural Effusion / Q000175:diagnosis / Q000209:etiology / Q000382:microbiology; D011030:Pneumothorax / Q000175:diagnosis / Q000453:epidemiology / Q000209:etiology; D012189:Retrospective Studies; D014396:Tuberculosis, Pleural / Q000150:complications / Q000175:diagnosis* / Q000453:epidemiology* / Q000209:etiology; D055815:Young Adult