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[Diagnostic difficulties in pulmonary tuberculosis in children]
1Spitalul Clinic de Pneumologie, Iaşi.
Insights
Diagnosing childhood pulmonary tuberculosis is challenging. Public health programs should prioritize expanding diagnostic methods for this significant global health issue.
Area of Science:
- Pediatric Infectious Diseases
- Respiratory Medicine
- Public Health
Context:
- Childhood pulmonary tuberculosis is a major global cause of illness and death.
- Early diagnosis is frequently complicated by non-specific symptoms and varied presentations.
Purpose:
- To assess the diagnostic challenges of pediatric pulmonary tuberculosis.
- To delineate the epidemiological, clinical, radiological, and bacteriological characteristics of childhood TB.
Summary:
- A retrospective study of 254 children with pulmonary tuberculosis revealed significant challenges in diagnosis.
- Key findings include a high prevalence of poor social conditions (65.4%), TB contact history (72.8%), malnutrition, positive tuberculin skin tests (58.35%), and hilar involvement (63.8%). Microbiological confirmation was achieved in 24.8% of cases, with 18 positive Quantiferon tests.
Impact:
- Highlights the difficulties in early diagnosis of pediatric tuberculosis.
- Underscores the need for enhanced diagnostic strategies and public health prioritization for childhood TB.
Unlabelled:
Pulmonary tuberculosis in children remains an important cause of morbidity and mortality around the world.
Aim:
To evaluate the difficulty of diagnosis and the epidemiological, clinical, radiological and bacteriological features of pulmonary tuberculosis in children.
Material And Method:
We analyzed in a descriptive and retrospective study, 254 children with pulmonary tuberculosis hospitalized in Pulmonary Pediatric Department of Iaşi during Jan 2000 - Dec 2005. The surveyed parameters include: the history of TB contact and BCG vaccination, the social condition, the nutrition status, the size of PPD induration, the clinical aspects, the microbiological results, chest X-ray, Quantiferon test.
Results:
Of the total number of cases: 65.4% had poor social conditions, 72.8% cases with TB contact, almost all patients with malnutrition I, 53.5% cases with BCG scar = 3 mm, 58.35% children with positive tuberculin skin test, 61.8% cases with acute onset, 24.8% with microbiological confirmation, 63.8% with hilar involvement, 18 cases with positive Quantiferon test.
Conclusions:
1. The early diagnosis of pulmonary tuberculosis in children is often difficult. 2. Pulmonary tuberculosis in children must be a priority of the public health programs for extending the area of diagnostic methods.
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