[Extrapulmonary tuberculosis versus pulmonary tuberculosis: epidemiological, diagnosis and evolutive aspects].

INTRODUCTION

Tuberculosis remains a public health problem around the world. Several factors can influence its location. The objective of this research is to analyze the factors influencing the diagnostic and evolutive aspects of extra-pulmonary tuberculosis (PET) compared to pulmonary tuberculosis (PT) at the anti-tuberculosis center of Adjame (Ivory Coast).

PATIENTS AND METHODS

This is a retrospective comparative study between PET and PT's patients based on the diagnostic and evolutive aspects of tuberculosis cases reported from January 1st, 2010 to December 31st, 2012 at the Adjame anti-tuberculosis center.

RESULTS

During the study period, 9442 patients were enrolled. Patients at advanced ages, were more affected by PET while younger adults were more affected by PT (P=0.001). Women and Adjame's residents were respectively more affected by PT compared to men and non-Adjame's residents. The majority of patients suffering from PET were HIV-positive while those suffering from PT were predominantly HIV-negative (P=0.001). The proportion of new cases was higher among populations with PET than in subjects with PT (P=0.001). Both groups of patients (PT and PET) were positively responsive to treatments.