Mortensen J, Lange P, Storm H K, Viskum K
Bispebjerg Hospital, København.
Ugeskr Laeger. 1990 Apr 23;152(17):1226-8.
During the years 1975-1985, 25 Danish children (less than 15 years) and 40 children of immigrants in the Municipalities of Copenhagen and Frederiksberg had tuberculosis for the first time. The children were assessed at the time of diagnosis and were retraced in 1987. The incidence of tuberculosis among foreign children was 10-40 times that among Danish children. Pronounced differences in the localizations of tuberculosis in Danes and foreigners were observed. Whereas the Danish children had exclusively pulmonary tuberculosis, 13 of the foreign children had either extrapulmonary tuberculosis or pulmonary and extrapulmonary tuberculosis simultaneously. Two of the foreign children had tuberculosis meningitis and one miliary tuberculosis. Significantly more patients with bacillary tuberculosis were present among foreigners than among Danes. No significant differences were found between the occurrence of symptoms, Mantoux-positive reactions, previous Calmette vaccination or known contact with a person with tuberculosis in Danes and foreigners. Treatment was followed as prescribed and all were cured from tuberculosis. One child with tuberculosis meningitis developed slight sequelae while the remainder of the children developed somatically normally.
1975年至1985年期间,哥本哈根市和腓特烈斯贝市有25名丹麦儿童(不满15岁)和40名移民儿童首次患上肺结核。这些儿童在确诊时接受了评估,并于1987年进行了追踪。外国儿童的肺结核发病率是丹麦儿童的10至40倍。观察到丹麦人和外国人在肺结核发病部位上存在明显差异。丹麦儿童仅患肺结核,而13名外国儿童患有肺外结核或同时患有肺结核和肺外结核。两名外国儿童患有结核性脑膜炎,一名患有粟粒性肺结核。外国人中患细菌性肺结核的患者明显多于丹麦人。在丹麦人和外国人中,症状出现情况、结核菌素试验阳性反应、以前的卡介苗接种情况或已知与肺结核患者的接触情况均未发现显著差异。治疗均按规定进行,所有患者的肺结核均已治愈。一名患有结核性脑膜炎的儿童出现了轻微后遗症,其余儿童身体发育正常。