Abstract
Introduction: Tuberculosis is a major public health problem in the world and in Morocco. Multifocal tuberculosis is defined as involvement of two non-contiguous extrapulmonary sites with or without pulmonary involvement.
Methods: We report a retrospective study of 87 cases of multifocal tuberculosis in immunocompetent patients, collected at the respiratory diseases department of the Ibn Rochd University Hospital in Casablanca over an 18-year period from 2001 to 2021.
Results: There were 54 women and 33 men. All our patients were correctly vaccinated with BCG.. Pulmonary tuberculosis was found in all cases; it was associated with pleural involvement in 39.2% of cases, mediastinal lymph node involvement in 24% of cases, peritoneal involvement in 19.4% of cases, peripheral lymph node involvement in 16, 4 % of cases, splenic in 14.8 % of cases, cold abscess of the thoracic wall in 12 % of cases, urogenital involvement in 10.4 % of cases, pericardial and cerebromeningeal involvement in 8.9 % of cases each and osteoarticular involvement in 7.4 % of cases.. The evolution under anti-tuberculosis treatment was favorable in 71% of cases. One patient presented a pulmonary tuberculosis relapse two years after the first attack. Two deaths occurred, one in respiratory distress secondary to a pneumothorax complicating a tuberculous miliary, the other following a multivisceral failure.
Conclusion: Multifocal tuberculosis is often described as the prerogative of the immunocompromised, but through this work. Antituberculosis treatment must be initiated as soon as possible to avoid sometimes disastrous complications.
Footnotes
Cite this article as Eur Respir J 2022; 60: Suppl. 66, 4214.
This article was presented at the 2022 ERS International Congress, in session “-”.
This is an ERS International Congress abstract. No full-text version is available. Further material to accompany this abstract may be available at www.ers-education.org (ERS member access only).
- Copyright ©the authors 2022