[Couple life and management of HIV infection in the pneumology department of the Teaching hospital center of Cocody, Abidjan, Côte d'Ivoire].

Introduction: The life of a couple is a place of emotional support. It can allow the management of patients infected with HIV on antiretroviral therapy to be optimized.The objective of our study was to analyze the impact of married life on the therapeutic follow-up of patients living with HIV.

[Use of the Xpert MTB/RIF test in routine screening of new cases of pulmonary tuberculosis in an endemic area].

Background: Developed initially for the diagnosis of multidrug-resistant tuberculosis, the Xpert MTB/RIF test has shown to be useful for the diagnosis of tuberculosis, especially among HIV-infected subjects. The objective of the study was to determine the contribution of the Xpert MTB/RIF test for routine pulmonary tuberculosis diagnosis in an endemic area.

Methodology: We undertook a prospective study among patients presenting with cough and sputum.

[Clinical, paraclinic and evolutive profile of HIV infected subject compared with that of non-HIV infected subject in pneumology hospitalization at Abidjan].

Introduction: The HIV infection is a problem of public health in Côte d'Ivoire. Voluntary screening is encouraged for the premature management of HIV infected patients before the stage of serious opportunist affections. Antiretroviral therapy became free.

[Multidrug resistant tuberculosis among health personnel in Côte d'Ivoire].

Unlabelled: Multidrug resistance tuberculosis (MDR-TB) of health workers raises the question of hospital-borne transmission of infection.

Observations: We report 4 cases of MDR-TB confirmed at the health workers over a period of 8 years (January, 2005 to December 2012), in the 2 services of pulmonology from Abidjan to Côte d'Ivoire). It was about young grown-up patients (aged between 28 and 39 years), all HIV negatives, in a no-win situation of antituberculosis treatment (3 patients/4).

[Dynamic of indicators of ambulatory care of tuberculosis in the antituberculous center of Adjamé].

Introduction: Tuberculosis (TB) remains a real problem of public health in Côte d'Ivoire. The aim of our study is to describe the dynamic of anti-TB fight indicators in anti-TB center (CAT) of Adjamé.

Methodology: We realized a retrospective study, comparing the anti-TB activities of two periods (1999-2001 versus 2010-2012) at the CAT of Adjamé.

[Influence of care pathways on the time of initiation of TB treatment].

Introduction: Untreated positive pulmonary TB smear has both individual implications, increasing morbidity and mortality, and collective implications, increasing the contagiousness of the disease. The present study aims to identify the course of patient care and the influence of care pathway on the time of initiation of TB treatment in Abidjan.

Methods: We conducted a prospective and comparative study between two groups with pulmonary smear-positive: 38 with a conventional course (use of only the health facilities) and 198 with mixed driving (combining health facilities, self-medication and traditional medicine).

[Comparative diagnosis of bacterial pneumonia and pulmonary tuberculosis in HIV positive patients].

Introduction: Immunodepression induced by the human immunodeficiency virus (HIV) modifies the clinical, radiological and microbiological manifestations of pulmonary tuberculosis; leading to similarities between pulmonary tuberculosis and acute community-acquired bacterial pneumonia. A consequence is the high proportion of discordant pre- and post-mortem diagnoses of pneumonia. The aim of our study was to contribute to the improvement in the diagnosis of acute bacterial pneumonia in HIV positive patients in areas where tuberculosis is endemic.

[Extensively drug resistant tuberculosis in Ivory Coast].

Introduction: The emergence of tuberculosis with ultraresistant bacilli (TB-UR or XDR-TB) came to increase the threat concerning the progress realized in tuberculosis control. This observation establishes the only case of XDR-TB documented and published since the beginning of pharmacoresistant tuberculosis management in Ivory Coast from 2000 till 2010. This case was diagnosed in 2005 at a HIV-negative 32-year-old woman, initially declared MDR-TB.

[Clinical manifestations in patients exposed to an environmental toxic accident (Abidjan, Ivory Coast 2006)].

Introduction: In 2006, 528 tons of petroleum toxic waste have been released in Abidjan (Ivory Coast) during a major environmental accident. This study was aimed to describe the clinical manifestations provoked by these toxic waste.

Methods: We have analysed the records of patients admitted to the university hospital of Cocody (Abidjan) following exposure to toxic waste.

[Evaluation of multidrug-resistant tuberculosis treatment in Ivory Coast from 2008 to 2010].

This is a retrospective study conducted from January 2008 to December 2010 on sectional descriptive analysis of records of patients treated for MDR-TB and whose follow-up was in the thoracic department of Centre Hospitalier Universitaire (CHU) of Cocody in Abidjan Côte d'Ivoire. We selected eight patients who met the inclusion criteria of 21 MDR-TB patients registered during the study period. The average age was 29.

[Correlation of the manifestations of tuberculosis and the degree of immunosuppression in patients with HIV].

Context: Correlation of the manifestations of tuberculosis and the degree of immunosuppression in patients with HIV.

Background: The advent of HIV has contributed to the increase in the number of people with tuberculosis. The clinical and paraclinical of TB/HIV co-infected are polymorphic and function of immune status.

[Etiologies of non tuberculous empyema in adult patients infected with HIV in a service of pneumology, Abidjan (Ivory Coast)].

Objectives: To identify the main bacteria that cause thoracic empyema of HIV-infected patients.

Methods: Retrospective study analyzing the etiology of thoracic empyema in patients admitted to the pneumology clinic of the university hospital center in Abidjan from January 1998 to December 2010. We included all patients with bacteriologically confirmed thoracic empyema and had serological test for HIV.

[Tuberculosis in the elderly: Epidemiology and outcomes of ambulatory followed-up in Abidjan].

Background: Very few works approach elderly's tuberculosis (TB) in developing countries. The aim of this study is to present elderly's TB epidemiology and the outcomes of the ambulatory follow-up of the tuberculous patients aged more than 65years old (TBE) compared to the TB among patients less than 65years old (TBY).

Methods: Our study is retrospective covering period of January 1999 to June 2006 activities of Adjamé's antituberculous center.

[Dynamic of respiratory pathology in a service of pneumology in black Africa in the context of HIV infection from 1998 to 2007].

Introduction: The pneumology in developing countries is practiced in a singular context: population mostly younger, endemic tuberculosis, high prevalence of HIV infection and growing pollution.

Objective: The aim of this study is to present respiratory pathology evolution in hospitalization of pneumology department in black Africa.

Methodology: Our study is retrospective and descriptive.

[Non-tuberculous pleural infections versus tuberculous pleural infections].

Introduction: In countries where tuberculosis is endemic, the main differential diagnosis for pleural infection by common bacteria is pleural tuberculosis.

Objective: The purpose of our study was to determine the differences between pleural infection by common bacteria and that caused by pleural tuberculosis.

Methodology: Our study was a retrospective analysis and compared the characteristics of confirmed pleural infection by common bacteria (PIB) and that due to pleural tuberculosis (PT).

[Clinical manifestations related to kitchen biomass smoke in African women].

Context: Fires of wood and charcoal play an essential part in the cooking of food in Africa. These fires emit thick smoke that has definite health consequences.

Objectives: To determine the clinical manifestations related to kitchen smoke and to identify the type of fire most often incriminated.

[Predictive factors of lost to follow-up status during tuberculosis treatment].

Introduction: Patients with contagious tuberculosis who are lost to follow-up risk sowing the disease among their circle of acquaintances. Moreover, a history of inadequate anti-tuberculous treatment is an important risk factor for the development of drug-resistant organisms. The purpose of this study was to identify risk factors for loss to follow-up among patients undergoing treatment for tuberculosis.

[Contribution of the surgical treatment of drug-resistant tuberculosis during medical follow-up (experience of the pneumology department of the CHU of Cocody, in connection with five observations)].

Multidrug resistance is defined as a resistance to two major antituberculosis drugs, which are isoniazid and rifampicin. The aim of the study was to specify the place of the thoracic surgery during the medical follow-up of the TB-MDR. Five files were kept over six years during this retrospective study.

[Multi-drug resistance of tuberculosis: 81 patients monitored in an Ivory Coast pneumology unit].

Background: The Ivory Coast management of chronic tuberculosis (TB) began in 2000.

Objectives: The aim of this study is to determine the characteristics of the patients monitored for chronic TB and note the difficulties in patient management and outcome.

Method: A retrospective review of the medical records of the patients receiving second-line treatment for chronic tuberculosis for at least 12 months.

[Antituberculous retreatement in case of failure to category I regimen].

Introduction: In Côte d'Ivoire, since April 2002, the antituberculous regime for category I patients (ARC-I) passed from 2RHZ/4RH to 2RHZE/4RH, without modification of the antituberculous regime for category II (ARC-II) for treatment of cases of the failures to respond to treatment with ARC-I (FARC-I) and patients with a relapse of tuberculosis (TR). The objective of this study was to determine the outcome of patients treated by ARC-II (2RHZES/1RHZE/5RHE).

Methodology: This study was retrospective and compared outcomes during patient follow-up under ARC-II between 1999-2000 (period 1=267 cases) and 2004-2005 (period 2=434 cases).

[Lyell's syndrome occurring in three HIV-positive patients undergoing anti-tuberculous therapy].

We describe three cases of Lyell syndrome - toxic epidermal necrolysis - occurring in patients under the respiratory service of CHU de Cocody in Abidjan in the Ivory Coast, who were undergoing anti-tuberculous (TB) chemotherapy. All three were adult males who were HIV-positive, but none of them were receiving anti-retroviral treatment. They were on standard anti-TB treatment; rifampicin, isoniazid, pyazinamide and ethambutol.

[Smoking and educational status in Africans].

Introduction: Tobacco smoking is a scourge that continues to increase in developing countries despite its known consequences. Is the population of the Ivory Coast sufficiently informed about the consequences of smoking? For this reason, we decided to evaluate the knowledge of the effects of smoking among the people of Abidjan.

Objective: To evaluate the knowledge of the effects of smoking in the population of Abidjan.

[Remarkable evolution of hepatic, pleural and pulmonary amoebiasis: a case report].

Entamoeba histolytica, is a human pathogen which is endemic in tropical areas. The most common extra-intestinal locations for disease after the liver are pleural and pulmonary. Although the outcome of pleural and pulmonary amoebiasis is generally favourable, it is important to note that a significant proportion of patients do develop pleural and pulmonary after-effects.