Lymphadenopathies: A Retrospective Study of Epidemiology, Characteristics, Diagnosis and Treatment Outcomes of Patients in a Tertiary Hospital in Mogadishu-Somalia
12. Türkiye EKMUD Bilimsel Kongresi, Antalya, Türkiye, 18 - 22 Mayıs 2024, ss.208-209, (Özet Bildiri)
- Yayın Türü: Bildiri / Özet Bildiri
- Basıldığı Şehir: Antalya
- Basıldığı Ülke: Türkiye
- Sayfa Sayıları: ss.208-209
- Dokuz Eylül Üniversitesi Adresli: Evet
Özet
Introduction: Lymphadenopathies, which can be caused by infections, malignant diseases, autoimmune disorders, and many other diseases, pose a challenge to clinicians in sub-Saharan Africa, as well as all over the world. The purpose of this research was to identify the clinical and diagnostic characteristics of Somalian patients suffering from swollen lymph nodes. Materials and Methods: Under the purview of this study, the diagnoses, patient clinical courses, and treatment outcomes were ascertained by analyzing the biochemical, microbiological, radiological, and pathological data of the cases in all age groups who underwent therapy for lymphadenitis at Mogadishu Somali Turkey Recep Tayyip Erdoğan Training and Research Hospital between January 2016 and September 2023. Results: During the study period, 317 patients were followed up, with 53.3% of the patients as female, 28.1% as pediatric, 63.1% as adult, and 8.8% were elderly patients. With 58.7% of diagnoses, tuberculous (TB) lymphadenitis was the most common, followed by malignant causes (21.8%). The most commonly affected lymph node was the cervical region, the symptom detected was lymph node swelling, the radiological method used was ultrasonography, and the biopsy method was fine needle aspiration biopsy. It was determined that TB and benign etiology were more common in young people (p<0.001), and weight loss was a significant result in terms of malignancy and TB (p<0.001). White blood cell value (p<0.001), erythrocyte sedimentation rate (p<0.001), and C-reactive protein (p=0.001) revealed differences across the diagnostic groups. Conclusion: Therefore, after ruling out malignant causes, TB should be the first diagnosis considered in Somalia, particularly in a patient presenting with weight loss and swelling of the lymph nodes. We hope that our study, which highlights the necessity and insufficiency of immunization in developing nations, will provide insight for upcoming researchs.