Clinical and biological characteristics:
- Age of our patients: between 17 and 89 years with a mean of 42 years
- There were 110 (81%) men and 25 (19%) women
- 87 (64,
5%) of our patients were without medical history
- 14 (10,
4%) patients had a history of tuberculosis
- Reveling symptoms were: cough (96 cases) (71%),
Deterioration of general condition (63 cases)(46.6%),
expectoration (51 cases) (37,7%),
fever (49 cases) (36.2%),
hemoptysis (41 cases) (30.3%),
dyspnea (17 cases) (12.5%). In two (1,
5%) patients,
tuberculosis was fortuitely discovered
- Definite diagnosis was based on:
- Isolation or culture of the bacillus in sputum: 110 case (81,
5%),
in bronchial fluid: 4 cases (3%),
in gastric fluid: 3 cases (2,
2%),
in pleural fluid: 1 case (0,7%)
-Pleural biopsy: Two patients (1,
5%)
-Clinical and radiological presumption: 15 cases (11,
1%)
- Post primary tuberculosis: 131 cases,
120 first episode,
11 recurrences
- Miliary tuberculosis: 4 cases
Radiological features:
- lymphadenopathy (fig.
1,
fig.
2,
fig.
3): one case (0.7%)
- Parenchymal consolidation 45 (33.33%) (fig.
4):
apical location +++
- Cavitation:57 (42.2%) (fig.
5)
bilatérale: 9 case (fig.
6,
fig.
7)
right: 35 cases
left: 25 cases
Fluid leveld: 12 cases (fig.
8,
fig.
9)
bronchial sign: 8 cases (fig.
9)
- Nodular opacities: 50 cases (37%)
“tree-in-bud”pattern: 13 cases (59%) (fig.
10)
centrolobular multinodules: 22 case (fig.
11)
Miliary disease: 4 cases (2.9%) (fig.
12,
fig.
13)
- Tuberculous pleurisy 12 cases (8.8%) (fig.
14)
- Scarring lésions: 8 cases (5.9%)
parenchymal calcification: 3 cases
pachypleuritis: 1 case
bronchectasis: 3 cases
Atelectasis: 1 case