Oniankitan O, Bagayogo Y, Fianyo E, Koffi-Tessio V, Kakpovi K, Tagbor K C, Houzou P, Mijiyawa M
Service de rhumatologie, CHU-Tokoin de Lomé. Togo.
Med Trop (Mars). 2009 Dec;69(6):581-2.
This investigation was carried out to determine the frequency and features of spondylodiscitis in patients attending the Tokoin University Hospital Center in Togo.
A retrospective study of patients examined in the Rheumatology Outpatient Clinic over a 17-year period was conducted.
Out of 14,708 patients examined during the study period, 222 (1.5%) presented spondylodiscitis. There wire 108 women and 114 men with a mean age of 38 years. The mean duration of symptoms was 6 months. Spondylodiscitis was related to presumptive tuberculosis in 169 patients (76.1%). The most common locations were the lumbar (56.8%) or thoracic (21.6%) spine. It was associated with a pulmonary location in 39 patients (17.6%). In addition to underdevelopment and poor hygiene in most patients, risk factors for spondylodiscitis included HIV infection (n=23), alcoholism (n=27), diabetes mellitus (n=7), and sickle cell anemia (n=7). Response to medical treatment was favorable in 197 patients (88.7%).
Spondylodiscitis is still a frequent reason for seeking medical care in Black Africa.
开展本次调查以确定在多哥托科因大学医院中心就诊患者中脊椎椎间盘炎的发病率及特征。
对风湿病门诊17年间检查的患者进行回顾性研究。
在研究期间检查的14708名患者中，222例（1.5%）患有脊椎椎间盘炎。其中有108名女性和114名男性，平均年龄为38岁。症状的平均持续时间为6个月。169例患者（76.1%）的脊椎椎间盘炎与疑似结核病有关。最常见的发病部位是腰椎（56.8%）或胸椎（21.6%）。39例患者（17.6%）伴有肺部病变。除大多数患者发育不全和卫生条件差外，脊椎椎间盘炎的危险因素还包括艾滋病毒感染（n = 23）、酗酒（n = 27）、糖尿病（n = 7）和镰状细胞贫血（n = 7）。197例患者（88.7%）对药物治疗反应良好。
在黑非洲，脊椎椎间盘炎仍是就医的常见原因。
