, Volume 41, Issue 3, pp 737-739
Date: 13 Dec 2012

Clinical and laboratory features of tuberculosis within a hospital population in Libreville, Gabon

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Tuberculosis constitutes a substantial health problem in Africa [1], particularly in the face of the human immunodeficiency virus (HIV) co-pandemic and the increasing problem of drug-resistant Mycobacterium tuberculosis strains [2]. While epidemiological data of adequate quality and quantity on the disease is available from some regions of sub-Saharan Africa, there is, so far, little data of high quality and visibility at hand for Central Africa [3]. For example, published epidemiological studies from Gabon are mainly available exclusively in French, and only from special subgroups, such as hospitalised children [4, 5] and HIV-positive adults [6], or from special clinical manifestations, such as tuberculous meningitis [7].

The capital Libreville is the largest city of Gabon and has about 450,000 inhabitants. The majority of tuberculosis patients are referred to one of two institutions. Some data from Nkembo Hospital has been published previously [6]. However, in recent years, the “Ward ...