Abstract:
BACKGROUND:Tuberculosis and human immunodeficiency virus infection are two major public health problems in sub-Saharan Africa. The aim of this study was to determine the prevalence of HIV infection in all clinical forms of TB and investigate the effects of HIV status on the evolution of tuberculosis. PATIENTS AND METHODS:This is a retrospective study relating to the 1647 adult's tuberculous patients, HIV status was known in 1419 cases which were followed-up at the diagnosis and treatment center for tuberculosis of the Yaounde Jamot Hospital in 2009. RESULTS:The prevalence of HIV infection was of 35% as a whole and 31.3%, 43.3% and 47.7% respectively for the smear positive pulmonary tuberculosis, smear negative pulmonary tuberculosis and extrapulmonary tuberculosis. Compared to HIV negative patients, HIV positive patients were older (36years versus 30years, P<0.0001) and included more women (57.1% versus 37.3%, P=0.001). The treatment success rate was 79% in HIV negative patients and 69% among HIV positive ones. The equivalent for mortality rate was respectively 1.9% and 10.5% (both P<0.001). In HIV positive patients, the death rate was 3.7% among those with CD4 above 200/mm(3) and 13% among those with CD4 below 200/mm(3) (P<0.02). CONCLUSIONS:The HIV infection is frequent among adult patients with tuberculosis in this setting, particularly among patients with smear negative pulmonary tuberculosis or extrapulmonary tuberculosis. It is associated with a high mortality rate especially on patient with severe immunodeficiency in spite of the antiretroviral treatment and prophylaxis with the cotrimoxazole.
journal_name
Rev Pneumol Clinjournal_title
Revue de pneumologie cliniqueauthors
Yone ÉW,Kuaban C,Kengne APdoi
10.1016/j.pneumo.2012.10.001subject
Has Abstractpub_date
2012-12-01 00:00:00pages
338-44issue
6eissn
0761-8417issn
1776-2561pii
S0761-8417(12)00120-4journal_volume
68pub_type
杂志文章abstract::The authors report a case of a large ganglioneurinoma located in the mediastinum. The clinical course of this rare benign neurogenic tumour of the posterior mediastinum includes a low risk of medullary compression. The treatment is surgical resection. ...
journal_title:Revue de pneumologie clinique
pub_type: 杂志文章,评审
doi:
更新日期:1994-01-01 00:00:00
abstract::The prevalence of smoking in France remains very high compared to other developed Western countries. The management of smoking in smokers is often limited to nicotinic substitution, whether medicated or linked to the use of electronic cigarettes or varenicline and advices more or less reliable or helpful. This strateg...
journal_title:Revue de pneumologie clinique
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abstract::In order to determine the exact significance and origin of lactate dehydrogenases (LDH) present in pleural effusions, LDH and their enzymes were assayed in the serum and pleural fluid of 60 patients with wet pleurisy and in the main blood cells (haematocytes, polymorphonuclears mononuclears) found in pleural fluids. O...
journal_title:Revue de pneumologie clinique
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更新日期:1986-01-01 00:00:00
abstract::The authors present a case of nephrotic syndrome due to focal-segmental glomerulosclerosis, occurring three years after thymectomy and myasthenia gravis. Twenty-three other cases of nephrotic syndrome associated with thymoma and myasthenia gravis have been reported in the literature. The nephrotic syndrome may be rela...
journal_title:Revue de pneumologie clinique
pub_type: 杂志文章,评审
doi:10.1016/j.pneumo.2009.06.003
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abstract::Pneumonias occupy a prominent situation among lower respiratory tract infections where they are remarkable for their potential mortality and for our relative knowledge of the responsible micro-organisms. Analysis and synthesis of each series published must answer several questions, such as: what are the lung diseases ...
journal_title:Revue de pneumologie clinique
pub_type: 杂志文章,评审
doi:
更新日期:1992-01-01 00:00:00
abstract::Forty-five bronchoalveolar lavages (BAL) were performed in Brazzaville in AIDS patients who did not expectorate acid- and alcohol-resistant bacilli (AARB). All patients presented with respiratory symptoms (cough, dyspnoea or chest pain), and all but 6 of them had abnormal radiography of the chest. Four cases of pneumo...
journal_title:Revue de pneumologie clinique
pub_type: 杂志文章,评审
doi:
更新日期:1991-01-01 00:00:00
abstract:INTRODUCTION:Castleman's disease is a rare orphan disease. The prevalence is estimated at less than 1/100 000. Respirologists may encounter this disease when its thoracic manifestations occur. CASE REPORT:The authors report two cases of Castleman's disease with two different thoracic involvements. The first patient wa...
journal_title:Revue de pneumologie clinique
pub_type: 杂志文章
doi:10.1016/j.pneumo.2008.12.004
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abstract::Mature teratoma is the most frequent primary germ-cell tumor occurring in the mediastinum. These tumors present characteristic mature cells derived from all three types of embryogenesis tissues. We report two cases. The typical presentation is a cyst-like noninvasive, heterogeneous and calcified formation in the anter...
journal_title:Revue de pneumologie clinique
pub_type: 杂志文章
doi:
更新日期:1999-06-01 00:00:00
abstract:OBJECTIVE:To describe the clinical features of dry cough, its socio-professional consequences and impact on patients' quality of life. METHOD:Cross-sectional observational study conducted in daily practice of general practice. RESULTS:One thousand and six hundred and five patients aged 43 years, 52.2% of whom were me...
journal_title:Revue de pneumologie clinique
pub_type: 杂志文章
doi:10.1016/j.pneumo.2010.12.009
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journal_title:Revue de pneumologie clinique
pub_type: 杂志文章,评审
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更新日期:2001-04-01 00:00:00
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journal_title:Revue de pneumologie clinique
pub_type: 杂志文章
doi:
更新日期:1999-03-01 00:00:00
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journal_title:Revue de pneumologie clinique
pub_type: 杂志文章
doi:
更新日期:2000-09-01 00:00:00
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journal_title:Revue de pneumologie clinique
pub_type: 杂志文章
doi:
更新日期:1992-01-01 00:00:00
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journal_title:Revue de pneumologie clinique
pub_type: 杂志文章
doi:
更新日期:2001-11-01 00:00:00
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journal_title:Revue de pneumologie clinique
pub_type: 杂志文章
doi:
更新日期:1987-01-01 00:00:00
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journal_title:Revue de pneumologie clinique
pub_type: 杂志文章
doi:
更新日期:1988-01-01 00:00:00
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journal_title:Revue de pneumologie clinique
pub_type: 杂志文章,评审
doi:
更新日期:1990-01-01 00:00:00
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journal_title:Revue de pneumologie clinique
pub_type: 杂志文章
doi:10.1016/s0761-8417(04)72112-4
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journal_title:Revue de pneumologie clinique
pub_type: 杂志文章
doi:10.1016/s0761-8417(07)92652-8
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journal_title:Revue de pneumologie clinique
pub_type: 杂志文章,评审
doi:10.1016/j.pneumo.2009.08.010
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journal_title:Revue de pneumologie clinique
pub_type: 杂志文章
doi:10.1016/j.pneumo.2011.08.001
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journal_title:Revue de pneumologie clinique
pub_type: 杂志文章,评审
doi:
更新日期:2004-11-01 00:00:00
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journal_title:Revue de pneumologie clinique
pub_type: 杂志文章
doi:
更新日期:1998-10-01 00:00:00
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journal_title:Revue de pneumologie clinique
pub_type: 杂志文章
doi:10.1016/j.pneumo.2014.12.006
更新日期:2015-10-01 00:00:00
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journal_title:Revue de pneumologie clinique
pub_type: 杂志文章
doi:
更新日期:1985-01-01 00:00:00
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journal_title:Revue de pneumologie clinique
pub_type: 杂志文章
doi:
更新日期:1987-01-01 00:00:00
abstract::Opsoclonus-myoclonus syndrome was observed in a patient treated for small-cell lung cancer. Opsoclonus presented as anarchic involuntary eye movements associated with myoclonies of the limbs and trunk. Opsoclonus-myoclonus is exceptional and a specific expression among several paraneoplastic manifestations described i...
journal_title:Revue de pneumologie clinique
pub_type: 杂志文章
doi:
更新日期:2003-11-01 00:00:00
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journal_title:Revue de pneumologie clinique
pub_type: 杂志文章
doi:
更新日期:1994-01-01 00:00:00
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journal_title:Revue de pneumologie clinique
pub_type: 杂志文章
doi:
更新日期:1985-01-01 00:00:00
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journal_title:Revue de pneumologie clinique
pub_type: 杂志文章,评审
doi:
更新日期:1988-01-01 00:00:00