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Biomedical subjects

S Chakib

Publications and source records attributed to S Chakib.

6 recordsLinked to original sources

[Mediastinal tuberculous adenopathies in Djibouti. Report of 159 cases].

One hundred and fifty-nine cases of confirmed mediastinal tuberculous adenopathy were analysed retrospectively. This series, which is the first reported in French-speaking Africa, shows that the disease is not uncommon there, and not restricted to black Africans living in Europe. The clinical symptoms are not specific. Radiography is more interesting, and the extreme scarcity of bacillys-containing expectoration encourages endoscopy. The finding of a fistula at fibroscopy confirms the diagnosis. This easy examination is particularly useful since M. tuberculosis can be grown in cultures from ground bronchial fistula biopsies in 86% of the cases. Associated tuberculous lesions in other sites are very frequent (45%), as is extension of the disease from lymph nodes to lung tissue (79%). This clinical form of tuberculosis can be treated with modern short course chemotherapy which is remarkably effective.

Adolescent↗

[Intrathoracic Pott's abscesses, radiologic pitfalls for the pneumologist].

The authors have conducted a retrospective study of 200 cases of tuberculous spondylitis, and wish to draw attention to the clinical and, chiefly, radiological aspects of the disease. Intrathoracic Pott's abscesses are principally observed in developing countries but they are not exceptional in France, and their varied semeiology deserves to be described.

Adolescent↗

[Bronchial fistula caused by Pott's abscesses. Report of 3 cases].

The authors report 3 cases of intrabronchial fistulisation of paravertebral abscesses due to tuberculous spondylitis of the thoracic spine. This complication is relatively rare (these 3 cases were in a series of 178 cases of Pott's disease) and is easy to diagnose due to its characteristic radio-clinical features. As mentioned in old publications, this type of fistulisation does not seem to have serious consequences. There are no particular aspects of treatment.

Adult↗

[Mycobacteria encountered in Djibouti].

The authors studied 198 strains of mycobacteriae from different sources, but mainly from bronchial secretion and adenoid pus or poundings. Because the preponderance of peripheral adenoid tuberculosis, we might fear a focus of Mycobacterium bovis. But this study gives leave to state positively that Mycobacterium tuberculosis hominis is almost exclusively the responsible and consequent by that there is an human reservoir almost exclusive. On the other hand, study of primary and secondary resistances to anti-bacillary drugs leads to express some concern particularly vis a vis modern treatments utilized as a matter of routine.

Africa, Eastern↗

[Peripheral lymph node tuberculosis in Djibouti].

153 well documented records, gathered in one year in a Tuberculosis Center, were studied. Adenoid localization represents on fourth of all tuberculosis, and 95% of all etiologies of peripheral adenopathies. Value of bacteriological tests is studied and compared to the one of histology. The almost sole presence of Mycobacterium tuberculosis hominis is an uncommon datum, interesting in the field of epidemiology. The recorded outstanding efficacy of modern anti-tuberculosis drugs is less known, perhaps because of scarcity of recent works on such localizations. Some easy and reliable guidance is proposed within the context of a Communicable Diseases Program.

Adolescent↗