title: [Effusive pericarditis: clinical and etiological aspects in Lomé].
abstract: OBJECTIVE
  to describe the course and the etiologic, prognostic, and therapeutic aspects of effusive pericarditis (EP) in Togo. MATERIAL ANDMETHODS: Prospective and longitudinal study conducted at the cardiology department of Sylvanus Olympio Teaching Hospital of Lome from February 1, 2011, to January 31, 2014, of patients hospitalized for EP, confirmed by Doppler echocardiography.
  
  
  RESULTS
  The study included 38 patients. The hospital incidence rate of EP was 2.0%. The mean age was 42.5 ± 14.9 years (range: 16 to 73 years) with a sex ratio of 0.7. Exertional dyspnea, poor general condition, chest pain, and fever were the main symptoms. Pericardial effusion was abundant in 24 patients (63%). The Koch bacillus was identified on direct examination in five patients (13%) and only from sputum. HIV serology was positive in 18 patients (47%). Pericardial fluid was collected from 24 patients (63%). Pathology examinations of pericardial tissue found nonspecific inflammation in 5 patients and pericardial tuberculosis in 7. The causes of EP were: tuberculous (55%), idiopathic (16%), bacterial (8%), HIV-related (5%), uremic (5%), neoplastic (5%), lupus (3%), and rheumatic (3%).
  
  
  CONCLUSIONS
  EFP is a frequent, serious, even deadly disease in Africa because of the HIV-AIDS pandemic. Treatment depends on the cause, most often tuberculosis.
authors.affiliation: CHU Sylvanus-Olympio, Lomé Tokoin, 14148 Lomé, Togo.
authors.forename: M
authors.initials: M
authors.lastname: Pio
authors.affiliation: Cardiologie, CHU Sylvanus-Olympio, Lomé Tokoin, 14148 Lomé, Togo.
authors.forename: Y M
authors.initials: YM
authors.lastname: Afassinou
authors.affiliation: Cardiologie, CHU-Campus, Lomé, Togo.
authors.forename: S
authors.initials: S
authors.lastname: Pessinaba
authors.affiliation: Médecine interne, CHU Sylvanus-Olympio, Lomé Tokoin, 14148 Lomé, Togo.
authors.forename: K E
authors.initials: KE
authors.lastname: Mossi
authors.affiliation: Maladies infectieuses, CHU Sylvanus-Olympio, Lomé Tokoin, 14148 Lomé, Togo.
authors.forename: A
authors.initials: A
authors.lastname: Kotosso
authors.affiliation: Cardiologie, CHU-Campus, Lomé, Togo.
authors.forename: S
authors.initials: S
authors.lastname: Baragou
authors.affiliation: Cardiologie, CHU Sylvanus-Olympio, Lomé Tokoin, 14148 Lomé, Togo.
authors.forename: E G
authors.initials: EG
authors.lastname: Akue
authors.affiliation: Cardiologie, CHU Sylvanus-Olympio, Lomé Tokoin, 14148 Lomé, Togo.
authors.forename: A M
authors.initials: AM
authors.lastname: Ephoevi-Ga
authors.affiliation: Cardiologie, CHU Sylvanus-Olympio, Lomé Tokoin, 14148 Lomé, Togo.
authors.forename: B
authors.initials: B
authors.lastname: Atta
authors.affiliation: Cardiologie, CHU Sylvanus-Olympio, Lomé Tokoin, 14148 Lomé, Togo.
authors.forename: K E
authors.initials: KE
authors.lastname: Ehlan
authors.affiliation: Cardiologie, CHU-Campus, Lomé, Togo.
authors.forename: F
authors.initials: F
authors.lastname: Damorou
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D005260:Female; D006801:Humans; D008137:Longitudinal Studies; D008297:Male; D008875:Middle Aged; D010490:Pericardial Effusion / Q000150:complications / Q000175:diagnosis / Q000209:etiology / Q000628:therapy; D010493:Pericarditis / Q000150:complications / Q000175:diagnosis / Q000209:etiology / Q000628:therapy; D011446:Prospective Studies; D014037:Togo; D055815:Young Adult
keywords: Togo; anatomic pathology; etiologies; fluid pericarditis