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- W1969191931 startingPage "177" @default.
- W1969191931 abstract "Les auteurs rapportent le cas d'un syndrome méningé à liquide céphalorachidien clair succédant à une otite suppurée bilatérale chronique chez un enfant non vacciné par le BCG. L'étiologie tuberculeuse a été prouvée par l'isolement de Mycobacterium tuberculosis à la culture du LCR et du pus auriculaire sur milieu de Löwenstein-Jensen. La chronologie des manifestations cliniques et l'absence d'un autre foyer notamment pulmonaire, plaident en faveur d'une otite tuberculeuse primitive compliquée de méningoencéphalite. La mise en route tardive du régime standard de traitement de la tuberculose n'a pas permis d'éviter une issue fatale. Face à ce type d'évolution, les auteurs proposent la recherche systématique d'une étiologie tuberculeuse devant toute otite chronique résistant aux traitements antibiotiques usuels dans leurs milieux et soulignent l'intérêt de vacciner précocement les enfants contre la tuberculose. The authors report a case of fatal tuberculous meningoencephalitis following chronic bilateral otitis media in a child. Mycobacterium tuberculosis was identified in the CSF and in the otitis secretions. There were no pulmonary tuberculosis signs, thus the tuberculous otitis was considered as primary. In high tuberculosis endemic areas like Central African Republic it is important to consider tuberculosis, in chronic otitis media resistant to non specific therapy, and to reinforce the immunization programs for children." @default.
- W1969191931 created "2016-06-24" @default.
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- W1969191931 date "2006-03-01" @default.
- W1969191931 modified "2023-09-30" @default.
- W1969191931 title "À propos d'un cas d'otite tuberculeuse primitive compliquée de méningoencéphalite au complexe pédiatrique de Bangui (République centrafricaine)" @default.
- W1969191931 cites W1789657652 @default.
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- W1969191931 doi "https://doi.org/10.1016/j.medmal.2006.01.001" @default.
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