title: [Tuberculosis among chronic hemodialysis patients in Togo: Report of 10 cases].
abstract: OBJECTIVE
  To determine the frequency of tuberculosis among hemodialysis patients in Togo, specify its different localizations and identify its diagnostic and therapeutic difficulties.
  
  
  METHODS
  This was a retrospective study over a period of 5 years (2010-2015). It includes the records of periodic hemodialysis patients in the Nephrology Department of the Sylvanus-Olympio University Teaching Hospital in Lomé. The diagnosis of tuberculosis was selected on the basis of clinical and laboratory data. The specific treatment has involved the association of 4 antituberculosis, which was adapted to the renal function.
  
  
  RESULTS
  Of 91 chronic hemodialysis patients treated in Hospital Sylvanus-Olympio hemodialysis center, 10 cases (10.9%) of tuberculosis were diagnosed. The mean age was 37.3±12.8 years, and the sex ratio was 1.5. The median time to onset of tuberculosis after initiation of hemodialysis was 16.8±9 months. Extrapulmonary sites are found in 100% of cases (5 had both peritoneal and pleural localization, only 5 had pleural localization). The tuberculin skin test was positive in 4 patients (40%). The search for Mycobacterium tuberculosis was unsuccessful in all types of samples. Tuberculosis treatment was generally tolerated. Two patients (20%) had died during treatment.
  
  
  CONCLUSIONS
  Tuberculosis is relatively common in hemodialysis patients. Diagnosis is difficult and may be based on the therapeutic trial.
authors.affiliation: Service de néphrologie et d'hémodialyse, CHU Sylvanus-Olympio, BP 14148, Lomé, Togo. Electronic address: tseviclaude@gmail.com.
authors.forename: Mawufemo Yawovi
authors.initials: MY
authors.lastname: Tsevi
authors.affiliation: Service de néphrologie et d'hémodialyse, CHU Sylvanus-Olympio, BP 14148, Lomé, Togo.
authors.forename: Akomola Kossi
authors.initials: AK
authors.lastname: Sabi
authors.affiliation: Service d'hépato-gastro-entérologie, CHU Canpus, BP 61842, Lomé, Togo.
authors.forename: Laté Mawuli
authors.initials: LM
authors.lastname: Lawson-Ananissoh
authors.affiliation: Service de néphrologie et d'hémodialyse, CHU Sylvanus-Olympio, BP 14148, Lomé, Togo.
authors.forename: Befa
authors.initials: B
authors.lastname: Noto-Kadou-Kaza
authors.affiliation: Service de néphrologie et d'hémodialyse, CHU Sylvanus-Olympio, BP 14148, Lomé, Togo.
authors.forename: Eyram Yoan
authors.initials: EY
authors.lastname: Amekoudi
mesh_terms: D000293:Adolescent; D000328:Adult; D002097:C-Reactive Protein / Q000032:analysis; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D006435:Renal Dialysis; D012189:Retrospective Studies; D014037:Togo / Q000453:epidemiology; D014376:Tuberculosis / Q000175:diagnosis / Q000453:epidemiology*; D055815:Young Adult
chemical_list: D002097:C-Reactive Protein
keywords: Bacille de Koch; Hemodialysis; Hémodialyse; Mycobacterium tuberculosis; Togo; Tuberculose; Tuberculosis