دورية أكاديمية

Clinical features, treatment outcomes and mortality risk of tuberculosis sepsis in HIV-negative patients: a systematic review and meta-analysis of case reports.

التفاصيل البيبلوغرافية
العنوان: Clinical features, treatment outcomes and mortality risk of tuberculosis sepsis in HIV-negative patients: a systematic review and meta-analysis of case reports.
المؤلفون: Adegbite BR; Centre de Recherches Médicales de Lambaréné and African Partner Institution, Lambaréné, Gabon. romeo.bayode@cermel.org.; Department of Infectious Diseases, Center of Tropical Medicine and Travel Medicine, Amsterdam University Medical Centers, Location AMC, Amsterdam Public Health, Amsterdam Infection & Immunity, University of Amsterdam, Amsterdam, The Netherlands. romeo.bayode@cermel.org.; Institut für Tropenmedizin, Universität Tübingen and German Center for Infection Research, Tübingen, Germany. romeo.bayode@cermel.org., Elegbede-Adegbite NOM; Centre de Dépistage et de Traitement de l'Ulcère de Buruli de Lalo, Ministére de la Santé du Bénin, Lalo, Benin., Edoa JR; Centre de Recherches Médicales de Lambaréné and African Partner Institution, Lambaréné, Gabon., Honkpehedji YJ; Centre de Recherches Médicales de Lambaréné and African Partner Institution, Lambaréné, Gabon.; Department of Parasitology, Leiden University Medical Center, Leiden, The Netherlands., Zinsou JF; Centre de Recherches Médicales de Lambaréné and African Partner Institution, Lambaréné, Gabon.; Department of Parasitology, Leiden University Medical Center, Leiden, The Netherlands., Dejon-Agobé JC; Centre de Recherches Médicales de Lambaréné and African Partner Institution, Lambaréné, Gabon.; Department of Infectious Diseases, Center of Tropical Medicine and Travel Medicine, Amsterdam University Medical Centers, Location AMC, Amsterdam Public Health, Amsterdam Infection & Immunity, University of Amsterdam, Amsterdam, The Netherlands., Adegnika AA; Centre de Recherches Médicales de Lambaréné and African Partner Institution, Lambaréné, Gabon.; Institut für Tropenmedizin, Universität Tübingen and German Center for Infection Research, Tübingen, Germany.; Department of Parasitology, Leiden University Medical Center, Leiden, The Netherlands., Grobusch MP; Centre de Recherches Médicales de Lambaréné and African Partner Institution, Lambaréné, Gabon.; Department of Infectious Diseases, Center of Tropical Medicine and Travel Medicine, Amsterdam University Medical Centers, Location AMC, Amsterdam Public Health, Amsterdam Infection & Immunity, University of Amsterdam, Amsterdam, The Netherlands.; Institut für Tropenmedizin, Universität Tübingen and German Center for Infection Research, Tübingen, Germany.; Masanga Medical Research Unit (MMRU), Tonkolili, Sierra Leone.; Institute of Infectious Diseases and Molecular Medicine (IDM), University of Cape Town, Cape Town, South Africa.
المصدر: Infection [Infection] 2023 Jun; Vol. 51 (3), pp. 609-621. Date of Electronic Publication: 2022 Nov 16.
نوع المنشور: Meta-Analysis; Systematic Review; Case Reports; Journal Article; Review
اللغة: English
بيانات الدورية: Publisher: Springer Heidelberg Country of Publication: Germany NLM ID: 0365307 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1439-0973 (Electronic) Linking ISSN: 03008126 NLM ISO Abbreviation: Infection Subsets: MEDLINE
أسماء مطبوعة: Publication: 2011- : Heidelberg : Springer Heidelberg
Original Publication: München, Verlagsgesellschaft Otto Spatz.
مواضيع طبية MeSH: HIV Infections*/epidemiology , Tuberculosis*/diagnosis , Sepsis*/microbiology , Mycobacterium tuberculosis*, Humans ; Female ; Male ; Treatment Outcome ; Comorbidity
مستخلص: Purpose: Tuberculosis sepsis (TBS) is sepsis due to the Mycobacterium species causing tuberculosis (TB). It seems to be rare in HIV-negative patients and mainly individual case reports have been reported. This systematic review summarizes the epidemiology, clinical features, and treatment outcomes of TBS in HIV-negative patients.
Methods: An electronic search of PubMed, Embase, Web of Science, and Google Scholar was performed to identify published case reports of TBS between January 1991 and September 2022.
Results: Twenty-five articles reported 28 cases of TBS in HIV-negative patients, among which 54% (15/28) were women; with 50% (14/28) of patients not having reported predisposing factors. A total of 64% (18/28) of patients died, and the diagnosis was obtained for many of them only post-mortem. Two of the reports mentioned the BCG vaccination status. A higher proportion of deaths occurred in patients with delayed diagnosis of sepsis. The probability of survival of patients diagnosed with tuberculosis sepsis was 68% on day 10; 41% on day 20; and 33% on day 30 after admission.
Conclusions: Our review showed TBS occurred in HIV-negative patients and some of them have no known immunocompromised underlying co-morbidity. TBS might not be rare as clinicians thought but might be prone to be missed. In endemic settings, M. tuberculosis etiology of sepsis should be accounted for early, irrespective of HIV infection status.
(© 2022. The Author(s).)
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فهرسة مساهمة: Keywords: Case fatality for tuberculosis septic shock; Sepsis; Tuberculosis in intensive care unit; Tuberculosis sepsis; Tuberculosis septic shock
تواريخ الأحداث: Date Created: 20221117 Date Completed: 20230525 Latest Revision: 20230526
رمز التحديث: 20240829
مُعرف محوري في PubMed: PMC10205828
DOI: 10.1007/s15010-022-01950-4
PMID: 36385404
قاعدة البيانات: MEDLINE
الوصف
تدمد:1439-0973
DOI:10.1007/s15010-022-01950-4