Extrapulmonary Tuberculosis at the Sylvanus Olympio University Hospital Center

Abstract

Objective: describe the epidemiological, clinical, paraclinical and therapeutic aspect of extrapulmonary tuberculosis at Centre Hospitalier Universitaire Sylvanus Olympio in Lomé. Methodology: This was a retrospective and descriptive study over a period of 4 years, from November 2019 to October 2023, of extrapulmonary tuberculosis cases diagnosed at CHU SO in Lomé, and put on treatment. Results: We identified 132 cases of extrapulmonary tuberculosis during this period. The average of age of patients was 43.39 years old, with the extreme of 4 and 85 years. Low socioeconomic level was found on 65.2 % of patients. An history of tuberculosis contamination was found on 4.6 % of patients. On the 132 patients of our study, 31 performed BCG vaccination. An HIV infection was found on 21.2 %. In our study, loss of weight was found on 94 patients and 60 patients had vesperal fever. In our study the main localization was osteoarticular with 53.0 %. The diagnosis was presumptive in 78.8 % of cases. A confirmation diagnosis was most often histological (12.1 %). All our patients received a standard antituberculosis treatment, RHEZ during the initial phase. We noticed 3.0 % of death with a significative association with HIV infection. Conclusion: Extrapulmonary tuberculosis concerns all groups of age. Immunodepression favors its development. Its diagnosis is most often presumptive.