In Tunisia, despite a decrease of incidence in the last decades, tuber
culosis was estimated at 25.3/100.000 in 1990, The present study descr
ibes epidemiological and clinical profile of tuberculosis in the Tunis
ian Sahel, between 1984 and 1990, During this period, incidence of tub
erculosis cases decreased from 41.2/100.000 to 34.4/100.000; 695 cases
recorded, out of which 66 % concerned male patients. The mean patient
age was 32.7 years. The disease typically affected the low socioecono
mic class. Direct examination of the sputum is the easiest and the mos
t reliable assay to make a diagnosis. Pleuropulmonary presentations we
re observed in 60 % of the cases, glandular localization in 17 %. Pati
ent compliance was estimated at 84.5 % of the cases.