{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,12,16]],"date-time":"2025-12-16T17:29:40Z","timestamp":1765906180290,"version":"3.48.0"},"reference-count":0,"publisher":"Tunisian Society of Medical Sciences","issue":"3","license":[{"start":{"date-parts":[[2025,3,2]],"date-time":"2025-03-02T00:00:00Z","timestamp":1740873600000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Tunis Med"],"abstract":"<jats:p>Introduction-Objectif\u00a0: Les DDB ou bronchectasies, qui \u00e9taient autrefois consid\u00e9r\u00e9 comme une maladie orpheline dans les pays d\u00e9velopp\u00e9s, sont fr\u00e9quente en Tunisie comme dans les pays \u00e9mergents. L\u2019objectif de la pr\u00e9sente \u00e9tude est de d\u00e9terminer le profil radio-clinique, \u00e9tiologique et \u00e9volutif des DDB.\nM\u00e9thode: \u00c9tude monocentrique, r\u00e9trospective et descriptive incluant tous les patients suivis au service de pneumologie, CHU de Gab\u00e8s, pour DDB confirm\u00e9e par un scanner thoracique entre janvier 2016 et d\u00e9cembre 2023.\u00a0\nR\u00e9sultats: Au total, 70 patients ont \u00e9t\u00e9 inclus dans l\u2019\u00e9tude. La moyenne d\u2019\u00e2ge \u00e9tait de 60,39\u00b118,68 ans. La symptomatologie a \u00e9t\u00e9 domin\u00e9e par la toux et la bronchorrh\u00e9e matinale. Le diagnostic de DDB a \u00e9t\u00e9 confirm\u00e9 chez tous les patients. Le scanner thoracique a montr\u00e9 des bronchectasies diffuses dans 85,7% cas, localis\u00e9es dans 14,2% des cas et bilat\u00e9rales dans 87% des cas. Les bronchectasies \u00e9taient post-tuberculeuses dans 62,8% des cas et idiopathiques dans 12,8% des cas. Les complications ont \u00e9t\u00e9 domin\u00e9es par les infections broncho-pulmonaires (21,4% des cas) et l\u2019h\u00e9moptysie (28,5% des cas). Dix patients (14,2%) ayant des DDB diffuses et bilat\u00e9rales ont \u00e9volu\u00e9 vers l\u2019insuffisance respiratoire chronique.\nConclusion : Il ressort de notre \u00e9tude que les \u00e9tiologies des DDB sont domin\u00e9es dans notre contexte par la tuberculose malgr\u00e9 le programme national de la lutte contre la tuberculose. Les DDB diffuses et bilat\u00e9rales sont fr\u00e9quentes et associ\u00e9es \u00e0 un mauvais pronostic.<\/jats:p>","DOI":"10.62438\/tunismed.v103i3.5174","type":"journal-article","created":{"date-parts":[[2025,12,16]],"date-time":"2025-12-16T17:22:42Z","timestamp":1765905762000},"source":"Crossref","is-referenced-by-count":0,"title":["Les dilatations des bronches chez l\u2019adulte : Profil radio-clinique, \u00e9tiologique et \u00e9volutif"],"prefix":"10.62438","volume":"103","author":[{"given":"Hamida","family":"Kwas","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sabrine","family":"Majdoub Fehri","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Houiem","family":"Ben Kraiem","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"31112","published-online":{"date-parts":[[2025,3,2]]},"container-title":["La Tunisie M\u00e9dicale"],"original-title":[],"deposited":{"date-parts":[[2025,12,16]],"date-time":"2025-12-16T17:25:26Z","timestamp":1765905926000},"score":1,"resource":{"primary":{"URL":"https:\/\/latunisiemedicale.com\/index.php\/tunismed\/article\/view\/5174"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,3,2]]},"references-count":0,"journal-issue":{"issue":"3","published-online":{"date-parts":[[2025,3,2]]}},"URL":"https:\/\/doi.org\/10.62438\/tunismed.v103i3.5174","relation":{},"ISSN":["2724-7031","0041-4131"],"issn-type":[{"type":"electronic","value":"2724-7031"},{"type":"print","value":"0041-4131"}],"subject":[],"published":{"date-parts":[[2025,3,2]]}}}