Aspects chirurgicaux des mycobacterioses. Evolution au cours des vingt dernieres annees. [Surgical aspects of mycobacterioses. Evolution during the last 20 years]

Détails

ID Serval
serval:BIB_81B5DC55E990
Type
Article: article d'un périodique ou d'un magazine.
Collection
Publications
Titre
Aspects chirurgicaux des mycobacterioses. Evolution au cours des vingt dernieres annees. [Surgical aspects of mycobacterioses. Evolution during the last 20 years]
Périodique
Schweizerische Medizinische Wochenschrift
Auteur(s)
Lardinois  D., Furrer  M., Mouton  W., Gugger  M., Ris  H. B.
ISSN
0036-7672 (Print)
Statut éditorial
Publié
Date de publication
11/1997
Volume
127
Numéro
47
Pages
1961-8
Notes
English Abstract
Journal Article --- Old url value: http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&dopt=Citation&list_uids=9480536 --- Old month value: Nov 22
Résumé
INTRODUCTION: Tuberculosis remains one of the major infectious diseases. Its incidence has grown in immigrants and in immunosuppressed patients, and, moreover, cases of drug resistance are on the increase. The goal of this study was to analyze the implications of these new developments and surgical experience in our patients. METHODS: The cases of 104 patients with tuberculosis hospitalized between 1975 and 1995 were reviewed retrospectively. RESULTS: 22% of the patients (23/104) were immigrants. No HIV-positive patients were described but association with debilitating diseases was frequent. Diagnosis was chiefly by histology. The culture was positive in only 30/104 patients (29%). Drug resistance was seen in only one patient (1%). 72/104 patients (69.2%) presented with an infection of the pulmonary parenchyma, 21/104 (20.2%) with pleural tuberculosis including tuberculous empyema, 3/104 (2.9%) with tuberculosis of the chest wall and 8/104 (7.7%) with mediastinal tuberculosis. Surgery was performed in 84/104 patients (80.8%). The chief indications were suspected carcinoma in 39/84 cases (46.4%), destroyed lung in 11/84 (13.1%), empyema combined with bronchopleural fistula in 10/84 (11.9%), enlarged mediastinal lymph-nodes of unknown dignity in 7/84 (8.3%), recurrent pleural effusion in 5/84 (5.9%) and bronchial stenosis in 4/84 (4.8%). CONCLUSION: The number of surgical patients with tuberculosis has remained fairly stable over the last 20 years, but the proportion of immigrants has grown since 1990. Thoracoscopy is playing an increasingly important role in the diagnosis and surgical treatment of tuberculosis (recurrent pleural effusion, resection of peripheral pulmonary nodules turning out to be tuberculoma).
Mots-clé
AIDS-Related Opportunistic Infections/epidemiology/*surgery Adolescent Adult Aged Aged, 80 and over Cross-Sectional Studies Female Humans Incidence Male Middle Aged *Pneumonectomy/statistics & numerical data Retrospective Studies Switzerland/epidemiology Tuberculosis, Lymph Node/epidemiology/*surgery Tuberculosis, Pleural/epidemiology/*surgery Tuberculosis, Pulmonary/epidemiology/*surgery
Pubmed
Web of science
Création de la notice
29/01/2008 14:00
Dernière modification de la notice
03/03/2018 18:48
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