1
|
[Epidemiological and evolutionary profile of tuberculosis under the influence og HIV]. Rev Mal Respir 2021; 39:1-7. [PMID: 34756503 DOI: 10.1016/j.rmr.2021.10.003] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/01/2021] [Accepted: 09/05/2021] [Indexed: 11/20/2022]
Abstract
INTRODUCTION We conducted this study to understand the impact of HIV infection on the epidemiology of tuberculosis (TB) in an outpatient care center. PATIENTS AND METHODS This is a retrospective and comparative study between subjects infected or not infected with HIV, using TB case notification data registered from October 2017 to September 2019 in the intermediate care facility (CDT) of the University Hospital of Libreville. Comparisons were made by bivariate analysis; proportions were compared using the Chi2 or the Fisher Exact test. Variables of significant interest were included in a binary logistic regression model for multivariate analysis. RESULTS Prevalence of HIV infection was 30.4%. Average age was 35.2 years with extremes at 15 and 83 years. In the results of the multivariate analysis, female patients were more frequently infected with HIV (p=0.002; OR=1.960, 95% CI [1.275 - 3.015]) and HIV infection was associated with a reduction in the proportion of PTB (+) (p=0.001; OR=0.483, 95% CI [0.311 - 0.752]). HIV infection was also associated with an increased proportion of new cases (P=0.007; OR=2.987, 95% CI [1.353 - 6.597]), EPT (p<0.001; OR=1.084, 95% CI [1.054 - 1.131] and an unfavorable therapeutic outcome (p=0.016; OR=2.744, 95% CI [1.208 - 6.233]). CONCLUSION TB/HIV co-infection remains high. It continues to negatively impact outpatient management of TB.
Collapse
|
2
|
Rousset S, Lafaurie M, Guet-Revillet H, Protin C, Le Grusse J, Derumeaux H, Gandia P, Nourhashemi F, Sailler L, Sommet A, Delobel P, Martin-Blondel G. Safety of Pyrazinamide for the Treatment of Tuberculosis in Older Patients Over 75 Years of Age: A Retrospective Monocentric Cohort Study. Drugs Aging 2020; 38:43-52. [PMID: 33145702 DOI: 10.1007/s40266-020-00811-9] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 10/17/2020] [Indexed: 11/24/2022]
Abstract
OBJECTIVES Pyrazinamide (PZA) has a controversial safety profile in older patients. We aimed to assess the frequency and risk factors for adverse drug reactions (ADRs) in patients over 75 years of age treated for tuberculosis with or without PZA. METHODS We conducted a retrospective monocentric study including patients aged over 75 years treated for active tuberculosis between 2008 and 2018. The frequency, type, seriousness, and causality assessment of ADRs to anti-tuberculosis treatment were compared between patients receiving PZA or not. Risk factors for ADRs were investigated using univariable and multivariable analyses by logistic regression. RESULTS Among the 110 patients included, 54 (49.1%) received PZA (group 1) and 56 (50.9%) did not (group 2). ADRs to anti-tuberculosis drugs occurred in 31 patients (57.4%) in groups 1 and 15 (26.8%) in group 2 (p = 0.003). PZA-related ADRs occurred in 40.7% of exposed patients. Frequency of renal ADRs was higher in group 1 (9.3% vs 0%; p = 0.026). Rates of hepatic (18.5% vs 12.5%; p = 0.38), digestive (22.2% vs 8.9%; p = 0.054), and allergic (14.8% vs 5.4%; p = 0.12) ADRs were numerically higher in group 1 although the differences were not statistically significant. Serious ADRs occurred more frequently in group 1 (24.1% vs 8.9%; p = 0.03). The use of PZA was the only independent risk factor for ADRs to anti-tuberculosis drugs (odds ratio 3.75, 95% CI 1.5-9.6; p = 0.0056). No risk factors for PZA-related ADRs were identified. CONCLUSION In older French patients, the use of PZA was associated with more frequent ADRs to anti-tuberculosis drugs.
Collapse
Affiliation(s)
- Stella Rousset
- Department of Infectious and Tropical Diseases, Toulouse University Hospital, Place du Docteur Baylac, TSA 40031, 31059, Toulouse Cedex 9, France.
| | - Margaux Lafaurie
- Clinical Pharmacology Department, Toulouse University Hospital, 37 Allées Jules Guesde, 31073, Toulouse Cedex, France.,INSERM UMR 1027, University of Toulouse III, 37 Allées Jules Guesde, 31000, Toulouse, France
| | - Hélène Guet-Revillet
- Department of Bacteriology, Toulouse University Hospital, 330 Avenue de Grande-Bretagne; TSA 40031, 31059, Toulouse Cedex 9, France
| | - Caroline Protin
- Department of Infectious and Tropical Diseases, Toulouse University Hospital, Place du Docteur Baylac, TSA 40031, 31059, Toulouse Cedex 9, France
| | - Jean Le Grusse
- Tuberculosis Control Centre, Joseph Ducuing Hospital, 15 Rue de Varsovie, BP 53160, 31027, Toulouse Cedex 3, France
| | - Hélène Derumeaux
- Medical Information Department, Toulouse University Hospital, Place du Docteur Baylac, TSA 40031, 31059, Toulouse Cedex 9, France
| | - Peggy Gandia
- Clinical Pharmacokinetics Laboratory, Toulouse University Hospital, Place du Docteur Baylac, TSA 40031, 31059, Toulouse Cedex 9, France
| | - Fatemeh Nourhashemi
- Department of Geriatrics, Toulouse University Hospital, Place Lange, TSA 60033, 31059, Toulouse Cedex 9, France.,INSERM UMR 1027, University of Toulouse III, 37 Allées Jules Guesde, 31000, Toulouse, France
| | - Laurent Sailler
- Department of Internal Medicine, Place du Docteur Baylac, Toulouse University Hospital, TSA 40031, 31059, Toulouse cedex 9, France
| | - Agnès Sommet
- Clinical Pharmacology Department, Toulouse University Hospital, 37 Allées Jules Guesde, 31073, Toulouse Cedex, France.,INSERM UMR 1027, University of Toulouse III, 37 Allées Jules Guesde, 31000, Toulouse, France
| | - Pierre Delobel
- Department of Infectious and Tropical Diseases, Toulouse University Hospital, Place du Docteur Baylac, TSA 40031, 31059, Toulouse Cedex 9, France.,INSERM U1043, CNRS UMR 5282, Centre de Physiopathologie Toulouse-Purpan, Place du Docteur Baylac, TSA 40031, 31059, Toulouse Cedex 9, France
| | - Guillaume Martin-Blondel
- Department of Infectious and Tropical Diseases, Toulouse University Hospital, Place du Docteur Baylac, TSA 40031, 31059, Toulouse Cedex 9, France.,INSERM U1043, CNRS UMR 5282, Centre de Physiopathologie Toulouse-Purpan, Place du Docteur Baylac, TSA 40031, 31059, Toulouse Cedex 9, France
| |
Collapse
|
3
|
Brönnimann LC, Zimmerli S, Garweg JG. Neues zur Therapie der okulären Tuberkulose. Ophthalmologe 2020; 117:1080-1086. [DOI: 10.1007/s00347-020-01099-1] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
|
4
|
Kais H, Mezenner NY, Trari M, Madjene F. Photocatalytic Degradation of Rifampicin: Influencing Parameters and Mechanism. RUSSIAN JOURNAL OF PHYSICAL CHEMISTRY A 2020. [DOI: 10.1134/s0036024419130119] [Citation(s) in RCA: 15] [Impact Index Per Article: 3.8] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/22/2022]
|
5
|
El Hamdouni M, Ahid S, Bourkadi JE, Benamor J, Hassar M, Cherrah Y. Incidence of adverse reactions caused by first-line anti-tuberculosis drugs and treatment outcome of pulmonary tuberculosis patients in Morocco. Infection 2019; 48:43-50. [PMID: 31165445 DOI: 10.1007/s15010-019-01324-3] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/24/2019] [Accepted: 05/18/2019] [Indexed: 02/06/2023]
Abstract
PURPOSE The treatment of tuberculosis is associated with a high incidence of adverse reactions with different degrees of severity. The aim of this study was to determine the incidence of adverse reactions caused by first-line anti-tuberculosis drugs and to evaluate the treatment outcome of TB patients in a large region of Morocco. METHODS It is a multi-centric observational cohort study conducted from January 01, 2014 to January 01, 2016. A questionnaire was established for data collection from clinical charts of TB patients. The study was carried out in all the 18 centers located in the Rabat-Salé-Kénitra region of Morocco where tuberculosis is treated. Adverse reactions are evaluated from the start of TB treatment until its end by a specialist clinician. The treatment outcomes are evaluated, and the definitions and classifications of these outcomes are defined according to World Health Organization guidelines. RESULTS Among a total number of 2532 patients treated for TB, the average age is 37.3 ± 16.4 years, 10.0% of patients produced adverse reactions. 7.4% of adverse reactions are gastrointestinal, 3.7% are cutaneous, 2.0% are hepatic, 1.14% are articular, 1.07% are immunoallergic, 0.7% are neuropsychiatric, and 0.1% are ocular. The treatment outcome of TB patients is 79.1% rate for successful treatment and 15.6% for unsuccessful treatment. CONCLUSION Adverse reactions caused by anti-TB drugs are frequent among patients with TB. These ADRs must be followed up by a closer monitoring during anti-TB treatment period. Treatment success outcome in our study is slightly lower than the success rate target of WHO of at least 85%.
Collapse
Affiliation(s)
- Mariam El Hamdouni
- Equipe de Recherche de Pharmacoéconomie et Pharmacoépidémiologie, Laboratoire de Pharmacologie et Toxicologie, Faculté de Médecine et de Pharmacie, Université Mohammed V, Rabat, Morocco.
| | - Samir Ahid
- Equipe de Recherche de Pharmacoéconomie et Pharmacoépidémiologie, Laboratoire de Pharmacologie et Toxicologie, Faculté de Médecine et de Pharmacie, Université Mohammed V, Rabat, Morocco
| | | | - Jouda Benamor
- Service de Pneumologie, Hôpital My Youssef, Rabat, Morocco
| | - Mohammed Hassar
- Equipe de Recherche de Pharmacoéconomie et Pharmacoépidémiologie, Laboratoire de Pharmacologie et Toxicologie, Faculté de Médecine et de Pharmacie, Université Mohammed V, Rabat, Morocco
| | - Yahia Cherrah
- Equipe de Recherche de Pharmacoéconomie et Pharmacoépidémiologie, Laboratoire de Pharmacologie et Toxicologie, Faculté de Médecine et de Pharmacie, Université Mohammed V, Rabat, Morocco
| |
Collapse
|
6
|
Kombila UD, Ka W, Mbaye FBR, Diouf NF, Fall L, Ouedraogo P, Koutonin ANE, Dia Kane Y, Oumar Toure Badiane N. [DRESS syndrome secondary to pyrazinamide: An uncommon complication of tuberculosis treatment]. Rev Mal Respir 2018; 35:69-73. [PMID: 29429561 DOI: 10.1016/j.rmr.2017.02.007] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/16/2016] [Accepted: 02/17/2017] [Indexed: 11/15/2022]
Abstract
INTRODUCTION The Drug Reaction with Eosinophilia and Systemic Symptom (DRESS) is a severe drug-induced reaction. CASE REPORT We report the case of a 35-year-old man treated by RHEZ for a first episode of a smear positive pulmonary tuberculosis and who developed a DRESS syndrome due to pyrazinamide after twenty days of treatment, associated with a viral reactivation to Human Herpes Virus 6 (HHV6). He had a skin eruption, liver involvement and hypereosinophilia. He fully recovered after drug withdrawal, associated with local and general corticosteroids. He died two weeks after discharge. CONCLUSIONS Discovery of DRESS syndrome during tuberculosis treatment is an uncommon complication and requires a searching for the responsible drug. That should be difficult because tuberculosis drugs are often given as fixed-dose combination. Physicians have to bear in mind the potential role of pyrazinamide.
Collapse
Affiliation(s)
- U D Kombila
- Service de médecine interne, centre hospitalier universitaire de Libreville (CHUL), BP 9264, Libreville, Gabon; Clinique de pneumologie, centre hospitalier national universitaire de FANN (CHNUF), avenue Cheikh-ANTA-DIOP, BP 5035, Dakar, Sénégal.
| | - W Ka
- Clinique de pneumologie, centre hospitalier national universitaire de FANN (CHNUF), avenue Cheikh-ANTA-DIOP, BP 5035, Dakar, Sénégal
| | - F B R Mbaye
- Clinique de pneumologie, centre hospitalier national universitaire de FANN (CHNUF), avenue Cheikh-ANTA-DIOP, BP 5035, Dakar, Sénégal
| | - N F Diouf
- Clinique de pneumologie, centre hospitalier national universitaire de FANN (CHNUF), avenue Cheikh-ANTA-DIOP, BP 5035, Dakar, Sénégal
| | - L Fall
- Service de dermatologie, léprologie, centre hospitalier de l'Ordre-de-Malte, avenue Cheikh-ANTA-DIOP, BP 5035, Dakar, Sénégal
| | - P Ouedraogo
- Clinique de pneumologie, centre hospitalier national universitaire de FANN (CHNUF), avenue Cheikh-ANTA-DIOP, BP 5035, Dakar, Sénégal
| | - A N E Koutonin
- Clinique de pneumologie, centre hospitalier national universitaire de FANN (CHNUF), avenue Cheikh-ANTA-DIOP, BP 5035, Dakar, Sénégal
| | - Y Dia Kane
- Clinique de pneumologie, centre hospitalier national universitaire de FANN (CHNUF), avenue Cheikh-ANTA-DIOP, BP 5035, Dakar, Sénégal
| | - N Oumar Toure Badiane
- Clinique de pneumologie, centre hospitalier national universitaire de FANN (CHNUF), avenue Cheikh-ANTA-DIOP, BP 5035, Dakar, Sénégal
| |
Collapse
|
7
|
Les médicaments antituberculeux. ACTUALITES PHARMACEUTIQUES 2017. [DOI: 10.1016/j.actpha.2017.05.015] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022]
|
8
|
Aït Moussa L, El Bouazzi O, Serragui S, Soussi Tanani D, Soulaymani A, Soulaymani R. Rifampicin and isoniazid plasma concentrations in relation to adverse reactions in tuberculosis patients: a retrospective analysis. Ther Adv Drug Saf 2016; 7:239-247. [PMID: 27904742 DOI: 10.1177/2042098616667704] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022] Open
Abstract
OBJECTIVE High concentrations of antituberculosis (anti-TB) drugs can be associated with many adverse drug reactions (ADRs). The objective of this study was to examine the plasma concentrations of rifampicin (RMP) and isoniazid (INH) in patients with and without ADRs. METHODS Concentration monitoring data of patients treated with anti-TB drugs were retrospectively analyzed from 2009 to 2011. RMP and INH plasma concentrations were measured 2 and 3 h after drug administration respectively using high-performance liquid chromatography. RESULTS A total of 54 out of 120 patients have experienced ADRs to anti-TB drugs. The median concentrations [interquartile range (IQR)] obtained in patients with and without ADRs were 6.7 mg/l (3.7-9.9) and 5.6 mg/l (2.9-8.6) (p = 0.56) for RMP and 4.3 mg/l (2.3-5.3) and 3.1 mg/l (1.7-4.8) (p = 0.04) for INH, respectively. Related median doses (IQR) were 8.7 mg/kg (8.0-10.0) and 8.6 mg/kg (6.5-9.9) (p = 0.42) for RMP and 4.8 mg/kg (4.3-5.0) and 4.0 mg/kg (2.8-5) (p < 0.01) for INH, respectively. Concentrations above the expected range in patients with and without ADRs were not reached for RMP, but were 76% and 65% for INH, respectively. Correlation between concentrations and doses has not been established for RMP or INH. In addition, high INH concentrations showed no association with sex, age, liver injury or renal or diabetes. CONCLUSIONS High INH concentrations were common in patients with and without ADRs whereas RMP concentrations were low or within the normal range in most patients. Further studies are required to assess the association between high INH concentrations and the occurrence of ADRs.
Collapse
Affiliation(s)
- L Aït Moussa
- Department of Pharmacovigilance, Moroccan Poison Control and Pharmacovigilance Center-Rue Lamfedel Cherkaoui, Rabat-Institut, Madinat Al Irfan, BP: 6671, Rabat, Morocco
| | - O El Bouazzi
- Laboratory of Toxicology and Pharmacology, Moroccan Poison Control and Pharmacovigilance Center, Rue Lamfedel Cherkaoui, Rabat-Institut, Madinat Al Irfan, BP: 6671, Rabat, Morocco
| | - S Serragui
- Laboratory of Pharmacology and Toxicology, Faculty of Medicine and Pharmacy, Mohammed V University, Rabat, Morocco
| | - D Soussi Tanani
- Department of Pharmacology, Faculty of Medicine and Pharmacy, University of Abdelmalek Essaadi, Tanger, Morocco
| | - A Soulaymani
- Laboratory of Genetics & Biometry, Faculty of Sciences, Ibn Tofail University, Kénitra, Morocco
| | - R Soulaymani
- Moroccan Poison Control and Pharmacovigilance Center-Rue Lamfedel Cherkaoui, Rabat-Institut, Madinat Al Irfan, BP: 6671, Rabat, Morocco
| |
Collapse
|
9
|
Yang Y, Liu XX. Pharmaceutical care for patients with anti-tuberculosis drug induced liver injury. Shijie Huaren Xiaohua Zazhi 2015; 23:3060-3068. [DOI: 10.11569/wcjd.v23.i19.3060] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 02/06/2023] Open
Abstract
Drug induced liver injury is one of the most important and serious adverse effects of anti-tuberculosis drugs. The clinical features of anti-tuberculosis drug induced liver injury (ATLI) ranges from asymptomatic alanine aminotransferase (ALT) elevations to acute hepatitis symptoms, and the mortality cases associated with liver failure are not rare. ATLI diminishes the effectiveness of anti-tuberculosis treatment, as they may cause non-adherence, and further leads to treatment interruption, recurrence or the emergence of drug resistance. The aim of this paper is to discuss the clinical features, mechanisms, risk factors and treatment principles for ATLI. In addition, the reasonable adjustment of anti-tuberculosis treatment and implementation of pharmaceutical care are also reviewed so as to provide thoughts on the prevention, diagnosis and timely intervention of ATLI.
Collapse
|
10
|
Negri L, Le Grusse J, Séraissol P, Lavit M, Houin G, Gandia P. [Tuberculosis: relevance of isoniazid dosage in prevention of liver side effects]. Therapie 2014; 69:509-16. [PMID: 25314930 DOI: 10.2515/therapie/2014202] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/06/2014] [Accepted: 08/12/2014] [Indexed: 11/20/2022]
Abstract
OBJECTIVE Several recent studies have established a correlation between NAT2 polymorphism and hepatotoxicity induced by isoniazid. The objective of this work was to assess the place of isoniazid dosage, marker of acetylation phenotype, in clinical practice in the department of Haute-Garonne. METHODS Data from reportable disease of tuberculosis and the results of isoniazid dosage performed at the pharmacokinetics and clinical toxicology laboratory were used during the period 2009-2012. RESULTS The current practice of dosage is far from being systematical: only 3.9% of patients who developed tuberculosis have benefited from isoniazid dosage. The isoniazid initial posology was adapted to the acetylation capacity for only 33.3% of patients. CONCLUSION A decision tree was realized and used to identify populations (low metabolism) liable to benefit from isoniazid dosage.
Collapse
Affiliation(s)
- Lucie Negri
- Laboratoire de pharmacocinétique et toxicologie clinique, Hôpital Purpan, Institut fédératif de biologie (IFB), Toulouse, France
| | - Jean Le Grusse
- Centre de lutte antituberculeuse, Hôpital Joseph Ducuing, Toulouse, France
| | - Patrick Séraissol
- Laboratoire de pharmacocinétique et toxicologie clinique, Hôpital Purpan, Institut fédératif de biologie (IFB), Toulouse, France
| | - Michel Lavit
- Laboratoire de pharmacocinétique et toxicologie clinique, Hôpital Purpan, Institut fédératif de biologie (IFB), Toulouse, France
| | - Georges Houin
- Laboratoire de pharmacocinétique et toxicologie clinique, Hôpital Purpan, Institut fédératif de biologie (IFB), Toulouse, France
| | - Peggy Gandia
- Laboratoire de pharmacocinétique et toxicologie clinique, Hôpital Purpan, Institut fédératif de biologie (IFB), Toulouse, France - EA4553, Laboratoire de pharmacocinétique, Institut Claudius Regaud, Toulouse, France
| |
Collapse
|
11
|
Oualil H, Nejjari S, Bourkadi JE, Iraqi G. [Hypothermia due to anti-tuberculosis drugs: first case]. REVUE DE PNEUMOLOGIE CLINIQUE 2014; 70:298-301. [PMID: 24646781 DOI: 10.1016/j.pneumo.2013.11.007] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 07/09/2013] [Revised: 11/05/2013] [Accepted: 11/06/2013] [Indexed: 06/03/2023]
Abstract
Hypothermia - an adverse reaction of drug use potentially severe - requires an early diagnosis and an adapted management. We report the first case, to our knowledge of hypothermia due to anti-tuberculosis drugs.
Collapse
Affiliation(s)
- H Oualil
- Service de pneumo-phtisiologie, hôpital Moulay Youssef, CHU, Rabat, Maroc.
| | - S Nejjari
- Service de pneumo-phtisiologie, hôpital Moulay Youssef, CHU, Rabat, Maroc
| | - J E Bourkadi
- Service de pneumo-phtisiologie, hôpital Moulay Youssef, CHU, Rabat, Maroc
| | - G Iraqi
- Service de pneumo-phtisiologie, hôpital Moulay Youssef, CHU, Rabat, Maroc
| |
Collapse
|
12
|
Bekaoui S, Haddiya I, El Housni S, ElHarraqui R, Rhou H, Benamar L, Eziatouni F, Ouzeddoun N, Bayahia R. [Spinal tuberculosis in renal transplant complicated by systemic fungal infection]. Pan Afr Med J 2014; 19:22. [PMID: 25667684 PMCID: PMC4314135 DOI: 10.11604/pamj.2014.19.22.2878] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/24/2013] [Accepted: 08/13/2014] [Indexed: 11/20/2022] Open
Abstract
En transplantation, les complications infectieuses sont fréquentes et de diagnostic souvent délicat. Elles peuvent coexister chez le transplanté rénal rendant leur diagnostic encore plus difficile. Le but de ce cas clinique est de discuter les difficultés diagnostiques et de surveillance de deux types de pathologies assez fréquentes chez le transplanté rénal, qui sont la tuberculose et la mycose, à travers l’observation clinique d’une patiente de 24 ans transplantée rénale qui présente une spondylodiscite tuberculeuse et qui développe secondairement une septicémie à Candida non albicans à point de départ urinaire dont le seul point d’appel est la fièvre post opératoire.
Collapse
Affiliation(s)
- Samira Bekaoui
- Service de néphrologie-dialyse-transplantation rénale, CHU Ibn Sina, Rabat, Maroc
| | - Intissar Haddiya
- Service de néphrologie-dialyse-transplantation rénale, CHU Ibn Sina, Rabat, Maroc
| | - Siham El Housni
- Service de néphrologie-dialyse-transplantation rénale, CHU Ibn Sina, Rabat, Maroc
| | - Ryme ElHarraqui
- Service de néphrologie-dialyse-transplantation rénale, CHU Ibn Sina, Rabat, Maroc
| | - Hakima Rhou
- Service de néphrologie-dialyse-transplantation rénale, CHU Ibn Sina, Rabat, Maroc
| | - Loubna Benamar
- Service de néphrologie-dialyse-transplantation rénale, CHU Ibn Sina, Rabat, Maroc
| | - Fatima Eziatouni
- Service de néphrologie-dialyse-transplantation rénale, CHU Ibn Sina, Rabat, Maroc
| | - Naima Ouzeddoun
- Service de néphrologie-dialyse-transplantation rénale, CHU Ibn Sina, Rabat, Maroc
| | - Rabia Bayahia
- Service de néphrologie-dialyse-transplantation rénale, CHU Ibn Sina, Rabat, Maroc
| |
Collapse
|
13
|
Pharmacovigilance and moroccan tuberculosis public program: current situation. Tuberc Res Treat 2014; 2014:626797. [PMID: 25013729 PMCID: PMC4074959 DOI: 10.1155/2014/626797] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/26/2014] [Accepted: 05/25/2014] [Indexed: 12/01/2022] Open
Abstract
The objective of this work is to demonstrate the interest of integration of pharmacovigilance in Moroccan Tuberculosis Control Program (MTCP). Design and Data Collection. The integration of pharmacovigilance in MTCP was conducted in October 2012 with the Global Fund support. We compared the reports notified before and after this integration (period 1: January 2010–October 2012; period 2: October 2012–December 2013). The detection of signals was based on the Information Component available in VigiMine. We used the SPSS version 10.0 and MedCalc version 7.3 for data analysis. Results. The average number of spontaneous reports increased from 3.6 to 37.4 cases/month (P < 10−3). The average age was 40.7 ± 17.5 years; the sex ratio was 0.8. Hepatic reactions (32.7%) predominated during the first period, while skin reactions (24.1%) were in the second period (P = 10−4), and 40.9% of cases in the first period were serious against 15.8% in second period (P = 0.003). Nine signals were generated (hepatic enzyme increase, cholestasis, jaundice, arthralgia, acne, lower limb edema, pruritus, skin rashes, and vomiting). Conclusion. The integration of pharmacovigilance in Moroccan Tuberculosis Control Program improved the management of ADRs and detected new signals of antituberculosis drugs.
Collapse
|
14
|
Blanc FX, Janssens JP, Underner M. Tuberculose et mycobactérioses non tuberculeuses : la pneumologie aux avant-postes. Rev Mal Respir 2011; 28:404-6. [DOI: 10.1016/j.rmr.2011.03.009] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/07/2011] [Accepted: 03/08/2011] [Indexed: 11/26/2022]
|