Epidemioclinical Aspects of Extrapulmonary Tuberculosis in the Paediatric Ward of the Donka National Hospital/Conakry University Hospital

Kolié Ouo Ouo¹*, Salématou Hassimiou Camara¹, Bangoura Mmah Aminata², Camara Emmanuel¹, Kouyaté Moustapha¹, Bangoura Kaba¹, Barry Mamadou Cire³, Diallo Fatoumata Binta¹ and Pé Niabé Bémy^1
1Department of Pediatrics, Donka Conakry Guinea National Hospital
²Institute of Nutrition and Child Health Conakry Guinea
³Department of Pediatrics, CHU Ignace DEEN Guinea-Conakry
*Corresponding Author: Ouo-Ouo Kolié, Department of Pediatrics, Donka Conakry Guinea National Hospital.

Published: May 12, 2023

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Abstract  

Introduction: Tuberculosis is an infection caused by Mycobacterium tuberculosis. Its extrapulmonary forms are numerous.

Method: This was a prospective descriptive study, lasting four years, from 1 February 2019 to 31 January 2023, carried out in the paediatric department of the CHU Donka. Our study variables were epidemiological, diagnostic and therapeutic.

Results: During our period, we counted 27 patients. The age group 11-15 years was most represented 40.74%, with an average age of 8.4 years. The male sex was the most represented 62.96% with a sex ratio of 1.7. Fever largely dominated the reasons for consultation, 70.37%. Eighteen (18) patients out of 25 had been vaccinated with BCG (66.67%). The TST and GeneXpert were very decisive in the diagnosis and meningeal tuberculosis dominated the picture (22.22%). Our patients were all treated with anti-tuberculosis drugs and the evolution was favourable (77.78%), 5 patients had died (18.52%).

Conclusion: Tuberculosis remains a significant pathology in our department despite BCG vaccination at birth.

Keywords: Extapulmonary tuberculosis; Pediatrics; CHU Donka; Guinea-Conakry