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[Tuberculin sensitivity in infants and preschool children with pulmonary tuberculosis]
Insights
Tuberculin skin test sensitivity in young children with tuberculosis varies by age and disease severity. Infants show more negative reactions, while severe or complicated TB is linked to reduced sensitivity.
Area of Science:
- Pediatric Infectious Diseases
- Immunology
- Tuberculosis Research
Context:
- Tuberculin skin testing (TST) is a key diagnostic tool for tuberculosis (TB).
- Understanding TST reactivity in young children is crucial for accurate TB diagnosis and management.
- Factors influencing TST results in pediatric TB require further elucidation.
Purpose:
- To investigate the tuberculin sensitivity patterns in children under 7 years old diagnosed with tuberculosis.
- To analyze the relationship between TST results and patient age, TB form, disease severity, complications, and comorbidities.
Summary:
- TST reactivity in children under 7 with TB was assessed.
- Infants (<3 years) exhibited significantly higher rates of negative TST reactions (13.2x) and lower rates of hyperergic reactions (5.8x) compared to older children (3-7 years).
- Negative TST results correlated with complicated, severe TB, and comorbidities. Hyperergic reactions were noted in ocular TB (44.5%), helminthic infections (30.4%), and resolving pulmonary TB (32.4%).
Impact:
- Findings highlight age-related differences in TST response in pediatric TB.
- Identifies clinical factors associated with altered TST reactivity, aiding in TB diagnosis and prognosis in young children.
- Provides insights into immune responses in pediatric TB, informing clinical practice and further research.
Abstract:
The tuberculin sensitivity of the skin was studied in children with tuberculosis, whose age was under 7 years, in relation to the age, the form of tuberculosis, the phases of a process, its severity, the presence of complications and concomitant disease. It was established that in infants the rate of negative reactions was 13.2 times higher and that of hyperergic reactions was 5.8 times less than those in children aged 3 to 7 years. Negative reactions were most common in the complicated and severe forms of tuberculosis and in comorbidity. Hyperergic reactions were more frequently encountered in ocular tuberculosis (44.5%), helminthic invasion (30.4%), and pulmonary tuberculosis first detected in the phase of resolution (32.4%).
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