[Experience with a differential approach to treating mild forms of intrathoracic tuberculosis in children]

The authors present their experience in applying a differential approach to treating mild forms of tuberculosis in children. They analyzed 40 case histories of tuberculosis risk-group children in whom computed tomography revealed changes in the lung or intrathoracic lymph nodes. Twenty-one children who had been diagnosed as having active tuberculosis on the first examination were treated by the 2 HRZ/4 HZ regimen. The results of treatment in all the patients were regarded as positive and the time of normalization of laboratory parameters was equal despite different volume of X-ray changes. In Group 2, three-month HR therapy ex juvantibus could confirm the diagnosis of active tuberculosis in 8 children and exclude changes of tuberculous etiology in 5 cases.