Service de rhumatologie CHU de Cocody (Abidjan) / Université Félix Houphouet-Boigny/UFR Sciences médicales d'Abidjan.
Service de rhumatologie CHU de Cocody (Abidjan) / Université Alassane Ouattara.
Tunis Med. 2023 Jan 3;101(1):19-25.
Pott's disease continues to be rife primarily in ivorian's setting. This large-scale study presents the Ivorian experience in the management of this disease.
To determine the epidemiological, clinical, paraclinical, therapeutic and evolutionary profile of Pott's disease in Abidjan and to identify the factors associated with neurological compressions.
Retrospective and analytical study of 420 files of patients suffering from presumptive or confirmed Pott's disease, hospitalized in the rheumatology department of Cocody University Hospital from January 2010 to December 2019.
The hospital frequency of tuberculous spondylodiscitis was 10.2%. Our study population consisted of 223 men and 197 women with an average age of 43.8 ± 15.5 years. A tuberculosis history and a notion of tuberculosis contagion were noted in 4.3% and 13.8% of cases respectively. The mean diagnostic time was 9.67 ± 10.11 months. The main clinical data were spinal syndrome (98.80%) and also tuberculous impregnation signs (84.76%). Neurological complications were noted in 11.66% of cases. Bacilloscopy and PCR BK were positive in 33.71% and 57.14% of cases respectively. Computed tomography was the most requested and performed diagnostic imaging (92.86%). The associated tuberculous targets (11.2%) were visceral (78.70%), in particular pulmonary (75.67%). The mean duration of anti-tuberculosis treatment was 12.42 months with a cure of 97.14% of patients. Diagnostic delay (P = 0.01), gibbosity (P = 0.009), and presence of soft tissue abscesses (P = 0.004) were significantly associated with neurological compressions.
Pott's disease is common in Abidjan and affects young adults. It manifests as a spinal syndrome with tuberculous impregnation signs. Computed tomography was the most performed diagnostic imaging. The factors associated with neurological compressions are: diagnostic delay, gibbosity and soft tissue abscesses.
波特氏病主要发生在科特迪瓦，本文旨在介绍科特迪瓦在该病治疗方面的经验。
确定阿比让地区波特氏病的流行病学、临床、辅助检查、治疗和演变情况，并确定与神经压迫相关的因素。
回顾性分析 2010 年 1 月至 2019 年 12 月期间在科科迪大学医院风湿科住院的 420 例疑似或确诊波特氏病患者的资料。
结核性脊椎炎的住院频率为 10.2%。我们的研究人群包括 223 名男性和 197 名女性，平均年龄为 43.8±15.5 岁。分别有 4.3%和 13.8%的患者有结核病病史和结核病传染观念。平均诊断时间为 9.67±10.11 个月。主要的临床数据是脊柱综合征（98.80%）和结核浸渍征象（84.76%）。11.66%的患者出现神经并发症。33.71%和 57.14%的患者的细菌镜检和 PCR BK 阳性。计算机断层扫描是最常用和执行的诊断影像学（92.86%）。合并的结核靶器官（11.2%）为内脏（78.70%），特别是肺部（75.67%）。抗结核治疗的平均持续时间为 12.42 个月，97.14%的患者治愈。诊断延迟（P=0.01）、驼背（P=0.009）和软组织脓肿存在（P=0.004）与神经压迫显著相关。
波特氏病在阿比让很常见，影响年轻人。它表现为脊柱综合征，伴有结核浸渍征象。计算机断层扫描是最常用的诊断影像学方法。与神经压迫相关的因素有：诊断延迟、驼背和软组织脓肿。
