This case report presents a 63-year-old male patient with a history of TB 20 years prior, who developed chronic cor pulmonale, right heart failure, and eventually died. The report emphasizes the serious long-term effects of post-TB sequelae, highlighting diagnostic challenges, clinical progression, and management strategies. The case report addresses a significant and often overlooked aspect of TB management: the long-term complications following TB treatment, known as post-TB sequelae.
References
[1]
Matteelli, A., Rendon, A., Tiberi, S., Al-Abri, S., Voniatis, C., Carvalho, A.C.C., etal. (2018) Tuberculosis Elimination: Where Are We Now? EuropeanRespiratoryReview, 27, Article ID: 180035. https://doi.org/10.1183/16000617.0035-2018
[2]
Visca, D., Centis, R., Munoz-Torrico, M. and Pontali, E. (2020) Post-Tuberculosis Sequelae: The Need to Look Beyond Treatment Outcome. TheInternationalJournalofTuberculosisandLungDisease, 24, 761-762. https://doi.org/10.5588/ijtld.20.0488
[3]
Sotgiu, G., Centis, R. and Migliori, G.B. (2021) Post-Tuberculosis Sequelae and Their Socioeconomic Consequences: Worth Investigating. TheLancetGlobalHealth, 9, e1628-e1629. https://doi.org/10.1016/s2214-109x(21)00454-x
[4]
Martinez-Garcia, M.A., Guan, W., de-la-Rosa, D., Athanazio, R., Oscullo, G., Shi, M., et al. (2023) Post-TB Bronchiectasis: From Pathogenesis to Rehabilitation. The International Journal of Tuberculosis and Lung Disease, 27, 175-181. https://doi.org/10.5588/ijtld.22.0566
[5]
Revendran, J., Patil, K., Nair, G., Uppe, A., Nanda, V., Sawant, S., etal. (2018) Long Term Sequelae of Pulmonary Tuberculosis and the Factors Predicting Its Development: A ClinicoRadiological Study. European Respiratory Journal, 52, PA2746. https://doi.org/10.1183/13993003.congress-2018.pa2746
[6]
Gohar Ali, M., Syed Muhammad, Z., Shahzad, T., Yaseen, A. and Irfan, M. (2018) Post Tuberculosis Sequelae in Patients Treated for Tuberculosis: An Observational Study at a Tertiary Care Center of a High TB Burden Country. European Respiratory Journal, 52, PA2745. https://doi.org/10.1183/13993003.congress-2018.pa2745
[7]
Muñoz-Torrico, M., Cid-Juárez, S., Gochicoa-Rangel, L., Torre-Bouscolet, L., Salazar-Lezama, M.A., Villarreal-Velarde, H., et al. (2020) Functional Impact of Sequelae in Drug-Susceptible and Multidrug-Resistant Tuberculosis. The International Journal of Tuberculosis and Lung Disease, 24, 700-705. https://doi.org/10.5588/ijtld.19.0809
[8]
Hulya, S., Ilknur, N., Karadeniz, G. and Erkan, S. (2022) Clinical Effects of TB Sequelae in Patients with COPD. TheInternationalJournalofTuberculosisandLungDisease, 26, 363-368. https://doi.org/10.5588/ijtld.21.0419
[9]
Rafeah Khan, R., Malik, N.I. and Razaque, A. (2019) Imaging of Pulmonary Post-Tuberculosis Sequelae. PakistanJournalofMedicalSciences, 36, 575-582. https://doi.org/10.12669/pjms.36.icon-suppl.1722
[10]
WHO (2022) Global Tuberculosis Report 2022. Geneva.
[11]
Tomono, K. (1998) The Causes of Death of Pulmonary Tuberculosis: Late Sequelae of Pulmonary Tuberculosis. Kekkaku, 73, 751-754.
[12]
Allwood, B.W., van der Zalm, M.M., Amaral, A.F.S., Byrne, A., Datta, S., Egere, U., etal. (2020) Post-Tuberculosis Lung Health: Perspectives from the First International Symposium. TheInternationalJournalofTuberculosisandLungDisease, 24, 820-828. https://doi.org/10.5588/ijtld.20.0067
[13]
Menzies, N.A., Quaife, M., Allowood, B.W., etal. (2021) Lifetime Burden of Disease Care to Incident Tuberculosis Sequelae. TheLancetGlobalHealth, 9, e1679-e1687.
[14]
Ayari, A., Smadhi, H., Mejri, I., Kamoun, H., Greb, D., Akrout, I., etal. (2015). Management of Pulmonary Tuberculosis Sequelae. European Respiratory Journal, 46, PA2762. https://doi.org/10.1183/13993003.congress-2015.pa2762
[15]
Walter, J.B. and Srael, M.S. (1974) Wound Healing in “General Pathology”. 4th Edition, Churchill Livingstone, 103-115.
[16]
Crofton, J., Horne, N. and Miller, F. (1999) Clinical Tuberculosis. ELBS Edition, Mc Millan Education LTD, 103.
[17]
Weitzenblum, E. and Chaouat, A. (2009) Cor pulmonale. ChronicRespiratoryDisease, 6, 177-185. https://doi.org/10.1177/1479972309104664
Andrejak, C., Cottin, V., Crestani, B., Debieuvre, D., Gonzalez-Bermejo, J., Morelot-Panzini, C., etal. (2021) Guide de prise en charge des séquelles respiratoires post infection à SARS-CoV-2. Propositions de prise en charge élaborées par la Société de Pneumologie de Langue Française. Version du 10 novembre 2020. RevuedesMaladiesRespiratoires, 38, 114-121. https://doi.org/10.1016/j.rmr.2020.11.009
[20]
Laouini, I., Abid, N., Loukil, M., Mokni, A., Badri, I. and Ghrairi, H. (2021) Profil clinique et radiologique des séquelles de tuberculose thoracique: À propos de 205 cas. RevuedesMaladiesRespiratoiresActualités, 13, 225. https://doi.org/10.1016/j.rmra.2020.11.501
[21]
Aminata, B.O., Djelo, D.B., Abdoulaye, B.A., Ibrahima, D.A.T., Oury, B.M. and Lantam, S. (2020) Radiological Aspects of Thoracic Tuberculosis Sequellae in Adults at the Pneumophtisiology Department of Ignace Deen National Hospital. Journal Africain d ImagerieMédicale, 12, 100-106.
[22]
Cisse, M.F., Dia Kane, Y., Abessolo, I., Mbaye, F.B.R., Thiam, K. and Toure, N.O. (2020) L’évolution et le devenir des patients avec séquelles de tuberculose thoracique. RevuedesMaladiesRespiratoiresActualités, 12, 168-169. https://doi.org/10.1016/j.rmra.2019.11.376
[23]
Ministère de la Santé et Prévention, République Démocratique du Congo (2024) Guide prise en charge de la tuberculose, 6è Edition, Programme national de lutte contre la tuberculose, PATI 6.
