Aygün Deniz, Yıldırım Tarık, Öner Özlem Başoğlu, Şiraneci Rengin
Division of Pediatric Infectious Diseases, Kanuni Sultan Süleyman Training and Research Hospital, İstanbul, Turkey.
Turk Pediatri Ars. 2020 Sep 23;55(3):236-243. doi: 10.14744/TurkPediatriArs.2020.02438. eCollection 2020.
AIM: Tuberculosis is one of the oldest and most contagious diseases of human history. One- quarter of the world's population is infected with the tuberculosis bacillus. Childhood tuberculosis does not have a standard clinical and radiologic description. Herein, we aimed to evaluate the clinical, laboratory, and radiologic findings of childhood tuberculosis. MATERIAL AND METHODS: The medical records of 216 patients hospitalized and treated with a diagnosis of TB between January 2015 and July 2019 in the Division of Pediatric Infectious Diseases in our hospital, were examined retrospectively. RESULTS: One hundred twenty-nine (59.7%) of 216 patients who were diagnosed as having TB were female and 87 (40.3%) were male. The age distribution of the patients was 12.3 (range, 0.33-18) years. One hundred sixty-nine patients (78.2%) had pulmonary, 34 (15.7%) had extrapulmonary, 13 had (6%) both pulmonary and extrapulmonary. One hundred forty-three (66.2%) patients had tuberculin skin test positivity. Acid-resistant bacteria were observed in 46 (21.3%) body fluid samples, and culture positivity was observed in 42 (19.4%) samples. The association of pulmonary tuberculosis and extrapulmonary tuberculosis was found with a higher rate in individuals who lived on minimum wage and in patients who had growth and developmental retardation (p=0.001, p<0.001). The hospitalization time was longer in these patients (p=0.027). The hemoglobin and sodium levels were significantly lower in patients who had extrapulmonary tuberculosis (p=0.044, p=0.002). CONCLUSION: Although the diagnosis of childhood tuberculosis is difficult due to the nonspecific signs and symptoms, it is a preventable and treatable disease.
目的:结核病是人类历史上最古老且传染性最强的疾病之一。世界四分之一的人口感染了结核杆菌。儿童结核病尚无标准的临床和影像学描述。在此,我们旨在评估儿童结核病的临床、实验室及影像学表现。 材料与方法:回顾性分析我院儿科传染病科2015年1月至2019年7月期间住院并诊断为结核病的216例患者的病历。 结果:216例被诊断为结核病的患者中,129例(59.7%)为女性,87例(40.3%)为男性。患者的年龄分布为12.3岁(范围0.33 - 18岁)。169例(78.2%)患者患有肺结核,34例(15.7%)患有肺外结核,13例(6%)同时患有肺结核和肺外结核。143例(66.2%)患者结核菌素皮肤试验呈阳性。46例(21.3%)体液样本中观察到抗酸杆菌,42例(19.4%)样本培养呈阳性。在领取最低工资的人群和生长发育迟缓的患者中,肺结核与肺外结核的关联率更高(p = 0.001,p < 0.001)。这些患者的住院时间更长(p = 0.027)。肺外结核患者的血红蛋白和钠水平显著较低(p = 0.044,p = 0.002)。 结论:尽管由于非特异性体征和症状,儿童结核病的诊断困难,但它是一种可预防和可治疗的疾病。
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