Marais Ben J, Gie Robert P, Hesseling Anneke H, Beyers Nulda
Department of Paediatrics and Child Health, Faculty of Health Sciences, Stellenbosch University, Tygerberg, South Africa.
Pediatr Infect Dis J. 2005 Aug;24(8):743-4. doi: 10.1097/01.inf.0000173305.04212.09.
We report 8 children (10-14 years of age) who were diagnosed with tuberculosis at their local primary health care clinic from July to September 2004, after routine sputum testing was extended to all children older than 10 years of age with suspected tuberculosis. This case series emphasizes that older children develop adult-type cavitating disease, which can be diagnosed by sputum smear microscopy, in contrast to younger children for whom smear microscopy has very little diagnostic value.
我们报告了8名年龄在10至14岁之间的儿童，他们于2004年7月至9月期间在当地的初级卫生保健诊所被诊断出患有结核病。此前，常规痰液检测已扩大至所有10岁以上疑似结核病的儿童。该病例系列强调，大龄儿童会患上成人型空洞性疾病，可通过痰液涂片显微镜检查进行诊断，这与年幼儿童不同，涂片显微镜检查对年幼儿童的诊断价值很小。
