Management of pulmonary tuberculosis sequelae
Aymen Ayari (Bizerte, Tunisia), Aymen Ayari, Hanene Smadhi, Islam Mejri, Hela Kamoun, Dorra Greb, Iness Akrout, Hela Hassen, Hejar Abdellghaffar, Leila Fkih, M. Lamine Megdiche
Source: International Congress 2015 – Case series and clinical conundrums in TB
Session: Case series and clinical conundrums in TB
Session type: Thematic Poster Session
Number: 2762
Disease area: Respiratory infections
Abstract INTRODUCTION: Pulmonary tuberculosis still raises many problems. The delay in care can affect respiratory functional prognosis. We were interested to difficulties in management of tuberculosis sequelae.PATIENTS AND METHODS: A retrospective study including patients treated for pulmonary tuberculosis between January 2012 and January 2014. We selected patients with pulmonary sequelae.RESULTS: Sixty-five cases have been collected. 81.5 % were male and 18.5% female. The mean age was 55.6 years ± 13. Seventy seven percent of these patients were smokers. The mean time to the onset of respiratory symptoms related to pulmonary sequelae was 15.6 ± 8 years. The clinical symptoms were dominated by a chronic sputum (74%), dyspnea (68%) and hemoptysis (34%). The thoracic imaging showed: a destroyed lung (46%), bronchiectasis (31%), aspergilloma (14%), emphysema (12.3%), pulmonary fibrosis (7.7%), residual cavity (6.2%) and lung cancer (1.5%). Functional respiratory explorations found a restrictive ventilatory defect in 78% of cases, chronic respiratory failure in 24% of cases. Treatment was essentially medical consisting in ininhaled corticosteroids, theophyllin and long acting beta agonist. Long term oxygen therapy was indicated for 8 patients. Surgery was indicated for only 5 patients whose, 3 of them had symptomatic aspergilloma. During the period of study the average number of hospitalization per year for all patients was 1.68 ± 2.CONCLUSION: The prevention of tuberculosis sequelae requires both early diagnosis and available treatment of the disease. These lesions increase morbidity and a preventable mortality.
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Aymen Ayari (Bizerte, Tunisia), Aymen Ayari, Hanene Smadhi, Islam Mejri, Hela Kamoun, Dorra Greb, Iness Akrout, Hela Hassen, Hejar Abdellghaffar, Leila Fkih, M. Lamine Megdiche. Management of pulmonary tuberculosis sequelae. Eur Respir J 2015; 46: Suppl. 59, 2762
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