DOI: 10.36347/sasjm.2020.v06i03.006

Pages: 110-133

Multifocal tuberculosis is defined as the involvement of two non-contiguous extra-pulmonary sites with or without pulmonary involvement. It is a rare but serious form that occurs mainly in immunocompromised patients. The aim of our work was to analyze the epidemiological, clinical and evolutionary features of multifocal tuberculosis in immunocompetent patients. For this we conducted a retrospective study of 67 cases of multifocal tuberculosis in immunocompetent patients, collected at the service of respiratory diseases of Ibn Rochd University Hospital of Casablanca over a period of 17 years. There are 45 women and 22 men. The average age was 32 years old. The average consultation time was 72 days. Recent tuberculosis was found in 33% of cases. The field assessment performed on all patients for possible immunosuppression was negative. Our patients had at least three associated disorders. Pulmonary tuberculosis was found in all cases. It was associated mainly with pleural involvement in 38.8% of cases, mediastinal lymph node in 23.8% of cases, peritoneal in 19.4% of cases and peripheral lymph node in 16.4% of cases. Patients were treated according to the recommendations of the national program against tuberculosis in Morocco. The evolution was favorable in 68.6% of the cases. We insist on the possibility of the occurrence of multifocal tuberculosis even in immunocompetent subjects. TB treatment should be started as soon as possible to avoid sometimes disastrous complications.