Ouzidane L, Adamsbaum C, Cohen P A, Kalifa G, Gendrel D
Service de Radiologie, Hôpital Saint-Vincent de Paul, Paris.
Ann Radiol (Paris). 1995;38(7-8):408-17.
Active pulmonary tuberculosis, a source of contamination, is currently undergoing a recrudescence in developed countries, particularly in clinical contexts of immunodepression. The authors report a retrospective series of 14 cases of primary tuberculosis in a paediatric population (7 girls and 7 boys) with a mean age of 3.5 years (range: 4 months-16 years) observed over a 3-year period. After reviewing the current radiological features of patent primary tuberculosis, the authors emphasize the contribution of chest CT scan in latent forms with a normal chest x-ray and a difficult bacteriological diagnosis. Imaging remains an essential tool in early diagnosis, therapeutic management and active surveillance of this form. The authors propose a decisional flow-chart in the case of suspected primary tuberculosis in children.
活动性肺结核作为一种传染源，目前在发达国家正呈复发态势，尤其是在免疫抑制的临床环境中。作者报告了一组回顾性研究病例，在3年期间观察了14例儿科原发性肺结核病例（7名女孩和7名男孩），平均年龄3.5岁（范围：4个月至16岁）。在回顾了原发性肺结核目前的影像学特征后，作者强调胸部CT扫描对胸部X线正常且细菌学诊断困难的潜伏形式的作用。影像学仍然是这种疾病早期诊断、治疗管理和动态监测的重要工具。作者针对儿童疑似原发性肺结核的情况提出了一个决策流程图。
