Tuberculosis Relapse; Retrospective Algerian Study Tuberculosis Relapse
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Abstract
Introduction: Tuberculosis relapse is defined by the reappearance of active tuberculosis one year or more after the first episode of tuberculosis is treated and declared cured.
The objective is to establish the epidemiological, clinical, radiological, and evolving profile of patients with tuberculosis relapse.
Methods: This is a retrospective study covering cases of tuberculosis relapses, collected in the pulmonology department of the Sidi Bel Abbes University Hospital for 11 years (2008–2019).
Results: Our series is made up of 17 men and 4 women. The average age was 43 years old. Active smoking was found in 66%, alcoholism in 28%, diabetes in 38%, and a low socioeconomic level in 83%. The average time between the first episode and relapse is 2 ± 1 years. A direct examination of the sputum confirmed the diagnosis of tuberculosis. Radiologically, tuberculosis manifested itself as extensive excavated lung lesions in 45% of cases. The evolution was favorable in the majority of cases; however, there was resistance to anti-tuberculosis drugs in one case and one death following bilateral pneumothorax.
Conclusion: Tuberculous relapses are the prerogative of young smokers with poor social conditions. The seriousness lies above all in the risk of the emergence of resistance to anti-tuberculosis drugs.
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References
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