Abstract：
:Background: Big cities were particularly affected by tuberculosis in the 1990s. Methods: We studied 141 cases of extrapulmonary tuberculosis in patients not infected by HIV in the northeastern suburbs of Paris. Results: A total of 84 men and 57 women were included in the study. Their average age at diagnosis was 42.2 years. Some 73.6% of the patients were foreign-born. A total of 182 sites were identified in 141 patients. There was an association with pulmonary tuberculosis in 38 cases. The sites were: lymph node (48.9%), pleural (25.5%), skeletal (22.7%), genitourinary (5.7%), and meninges (5%). Unfavorable social conditions were frequently observed. The average duration of treatment was 10 months. Twenty-four adverse drug effects were noted. Sixty-eight strains of Mycobacterium tuberculosis were isolated. Five cases of primary resistance to at least one antituberculous drug and only one case of multidrug resistance were observed. Some 95.7% of the 93 patients who were not lost to follow up were cured. Conclusion: Independently of HIV infection, extrapulmonary tuberculosis is still present, particularly in the suburbs of big cities, where social conditions are poor. The significant number of patients lost to follow-up demands that measures be adapted for the therapeutic management of these patients.
journal_name
Eur J Intern Medjournal_title
European journal of internal medicineauthors
Fain O,Lortholary O,Lascaux V V,Amoura I I,Babinet P,Beaudreuil J,Boudon P,Cruaud P,Desrues J,Djouab M,Glowinski J,Lhote F,Kettaneh A,Malbec D,Mathieu E,Taleb C,Guillevin L,Thomas Mdoi
10.1016/s0953-6205(00)00076-5subject
Has Abstractpub_date
2000-06-01 00:00:00pages
145-150issue
3eissn
0953-6205issn
1879-0828pii
S0953620500000765journal_volume
11pub_type
杂志文章abstract：STUDY OBJECTIVE:Early risk stratification of septic patients presenting to the emergency department (ED) is challenging. The aim of the study was to evaluate the prognostic role of plasmatic sodium level (PNa+) derangements at ED presentation in septic patients. METHODS:According to PNa+ at ED presentation patients we...
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journal_title：European journal of internal medicine
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