Tuberculoses extra-pulmonaires : revue et possibilités de diminution des délais d'intervention thérapeutique

Abstract

Extrapulmonary tuberculosis accounts for 15 to 30 per cent of all tuberculosis. Before the onset of HIV epidemic, as rates of pulmonary tuberculosis decreased, rates of extrapulmonary disease remained constant. At present extrapulmonary tuberculosis is more common among patients with HIV infection. The mortality rate of dissemniated tuberculosis and tuberculous meningitis reaches yet about 20 per cent in spite of progress in diagnosis and treatment. Beside these two most dangerous presentations, the four most frequent involvements are in order of importance : lymph nodes, pleural, genito-urinary tract and skeleton. Because of multiple anatomical and clinical presentations and with a review of the literature, it is difficult to establith rules in order to reduce the delay of treatment of extrapulmonary tuberculosis.