دورية أكاديمية
أعرض في EDS

Cerebral abscesses of tuberculosis origin: study of 8 cases at the University Hospital of Conakry

التفاصيل البيبلوغرافية
العنوان: Cerebral abscesses of tuberculosis origin: study of 8 cases at the University Hospital of Conakry
المؤلفون: Barry Louncény Fatoumata, Souare Ibrahima Sory, Cissé Fodé Abass, Djibo Hamani A. Bachir, Atakla H. Ghislain, Condé Alpha Youssouf, Barry Mamoudou, Barry Souleymane Djigué, Donzo Ansoumane, Barry Ibrahima Sory, Ibrahima Sory Souaré, Youla Sény, Camara Mamadi, Cissé Amara
المصدر: Egyptian Journal of Neurosurgery, Vol 35, Iss 1, Pp 1-6 (2020)
بيانات النشر: SpringerOpen, 2020.
سنة النشر: 2020
المجموعة: LCC:Surgery
LCC:Neurosciences. Biological psychiatry. Neuropsychiatry
مصطلحات موضوعية: Abscess, Tuberculosis, CNS, Neurosurgery, Conakry, Surgery, RD1-811, Neurosciences. Biological psychiatry. Neuropsychiatry, RC321-571
الوصف: Abstract Introduction Tuberculosis of the central nervous system (CNS) remains endemic in developing countries with high morbidity and mortality despite advances in imaging and treatment. The objective of our work was to describe the diagnostic and therapeutic difficulties of this pathology in the context of a country with limited health resources. Materials and methods We retrospectively studied 8 cerebral tuberculosis abscess files, collected in the archives of the neurosurgery department of the Conakry University Hospital over a 5-year period (January 2013–December 2017). The diagnosis was made by scanning and by isolation of acid-fast bacilli (AFB) by direct examination of pus. Results Mean age was 33 years (9–56 years), sex, 5H 5 men/3F 3 women. History of pulmonary TB, 3 cases; TB contagious, 5 cases; TST ITR positive, 5 cases; associated visceral TB, 5 cases; HIV positive serology, 2 cases. The clinic was dominated by altered consciousness, 7 cases; focal signs, 7 cases; and fever, 5 cases. The site was hemispherical in 7 cases and one case in the posterior brain fossa. Treatment was medico-surgical in all patients. The evolution was favorable in 3 cases, the neurological sequelae in 3 cases, 2 cases of death, and 2 cases of recurrence. Conclusion Cerebral tuberculous abscesses constitute a medico-surgical emergency. Despite their rarity, morbidity and mortality remains high in the context of developing countries due to diagnostic and therapeutic delays.
نوع الوثيقة: article
وصف الملف: electronic resource
اللغة: English
تدمد: 2520-8225
Relation: http://link.springer.com/article/10.1186/s41984-020-00090-x; https://doaj.org/toc/2520-8225
DOI: 10.1186/s41984-020-00090-x
URL الوصول: https://doaj.org/article/9a94533494754f1aa7f642753ee3a620
رقم الأكسشن: edsdoj.9a94533494754f1aa7f642753ee3a620
قاعدة البيانات: Directory of Open Access Journals
الوصف
تدمد:25208225
DOI:10.1186/s41984-020-00090-x