文献检索文档翻译深度研究
Suppr Zotero 插件Zotero 插件
邀请有礼套餐&价格历史记录

新学期,新优惠

限时优惠:9月1日-9月22日

30天高级会员仅需29元

1天体验卡首发特惠仅需5.99元

了解详情
不再提醒
插件&应用
Suppr Zotero 插件Zotero 插件浏览器插件Mac 客户端Windows 客户端微信小程序
高级版
套餐订阅购买积分包
AI 工具
文献检索文档翻译深度研究
关于我们
关于 Suppr公司介绍联系我们用户协议隐私条款
关注我们

Suppr 超能文献

核心技术专利:CN118964589B侵权必究
粤ICP备2023148730 号-1Suppr @ 2025

儿童结核病临床及实验室特征评估

Evaluation of clinical and laboratory characteristics of childhood tuberculosis.

作者信息

Aygün Deniz, Yıldırım Tarık, Öner Özlem Başoğlu, Şiraneci Rengin

机构信息

Division of Pediatric Infectious Diseases, Kanuni Sultan Süleyman Training and Research Hospital, İstanbul, Turkey.

出版信息

Turk Pediatri Ars. 2020 Sep 23;55(3):236-243. doi: 10.14744/TurkPediatriArs.2020.02438. eCollection 2020.


DOI:10.14744/TurkPediatriArs.2020.02438
PMID:33061750
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7536459/
Abstract

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.

摘要

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。

相似文献

[1]
Evaluation of clinical and laboratory characteristics of childhood tuberculosis.

Turk Pediatri Ars. 2020-9-23

[2]
Evaluation of Clinical and Laboratory Characteristics of Children with Pulmonary and Extrapulmonary Tuberculosis.

Medicina (Kaunas). 2019-8-1

[3]
Evaluation of cases of pediatric extrapulmonary tuberculosis: a single center experience.

Turk Pediatri Ars. 2019-7-11

[4]
Clinical features of tuberculosis associated with HIV infection in Taiwan.

J Formos Med Assoc. 1996-12

[5]
From Diagnosis to Treatment of Pediatric Tuberculosis: Ten Years Experience in a Single Institution.

Clin Pediatr (Phila). 2020-5

[6]
Xpert MTB/RIF assay for extrapulmonary tuberculosis and rifampicin resistance.

Cochrane Database Syst Rev. 2018-8-27

[7]
[Tuberculosis in compromised hosts].

Kekkaku. 2003-11

[8]

2020-2-6

[9]
Description of pediatric tuberculosis evaluated in a referral center in istanbul Turkey.

Yonsei Med J. 2012-11-1

[10]
[Comparison of the performances of MTD Gene-Probe® test, BACTEC 960™ system and Löwenstein-Jensen culture methods in the diagnosis of smear-negative tuberculosis cases].

Mikrobiyol Bul. 2013-7

引用本文的文献

[1]
Can Complete Blood Count Parameters and Serum Electrolyte Levels Have a Predictive Role in Differential Diagnosis of Tuberculosis from Community-acquired Pneumonia in Children?

Turk Arch Pediatr. 2024-5-2

[2]
Risk of tuberculosis in children with rheumatologic diseases treated with biological agents: A cross-sectional cohort study.

Arch Rheumatol. 2023-2-3

[3]
The Spectrum of Childhood Tuberculosis in an African Setting: A Hospital-Based Experience in Bamenda, Cameroon.

Turk Arch Pediatr. 2023-3

[4]
A Scopus-Based Bibliometric Analysis of Global Tuberculosis Publications: 1849-2020.

Turk Thorac J. 2022-5

本文引用的文献

[1]
Malnutrition and Associated Disorders in Tuberculosis and Its Therapy.

J Diet Suppl. 2019

[2]
Update on trends in childhood tuberculosis.

Curr Opin Pediatr. 2018-2

[3]
Paediatric Tuberculosis at a Referral Hospital in Istanbul: Analysis of 250 Cases.

Biomed Res Int. 2016

[4]
Differences between pediatric extra-pulmonary and pulmonary tuberculosis: a warning sign for the future.

Mediterr J Hematol Infect Dis. 2014-9-1

[5]
[Childhood tuberculosis].

Rev Pneumol Clin. 2015

[6]
New insights into the interaction of Mycobacterium tuberculosis and human macrophages.

Future Microbiol. 2014

[7]
Demographic and microbial characteristics and drug resistance of childhood tuberculosis in Istanbul: analysis of 1,541 cases.

J Infect Dev Ctries. 2014-3-13

[8]
Tuberculosis in children.

Mediterr J Hematol Infect Dis. 2013-11-4

[9]
Childhood tuberculosis: epidemiology, diagnosis, treatment, and vaccination.

Pediatr Neonatol. 2013-3-16

[10]
Diagnosis of paediatric tuberculosis: the culture conundrum.

Lancet Infect Dis. 2013-1

文献AI研究员

20分钟写一篇综述,助力文献阅读效率提升50倍

立即体验

用中文搜PubMed

大模型驱动的PubMed中文搜索引擎

马上搜索

推荐工具

医学文档翻译智能文献检索