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The MODS method for diagnosis of tuberculosis and multidrug resistant tuberculosis
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The MODS method for diagnosis of tuberculosis and multidrug resistant tuberculosis

Published on: August 11, 2008

[Diagnosis of abdominal tuberculosis in children]

Xiao-ling Liu1, Shun-ying Zhao

  • 1Special Consultation Internal Medicine, Beijing Children's Hospital, Capital Medical University, Beijing 100045, China.

Zhonghua Er Ke Za Zhi = Chinese Journal of Pediatrics
|April 30, 2010
PubMed

Insights

Abdominal tuberculosis in children is often misdiagnosed due to non-specific symptoms. Early recognition requires considering extra-abdominal signs and utilizing PPD tests and ultrasound for diagnosis.

Area of Science:

  • Pediatrics
  • Infectious Diseases
  • Gastroenterology

Context:

  • Abdominal tuberculosis (TB) in children presents diagnostic challenges.
  • Misdiagnosis is common, often attributed to conditions like gastroenteritis.

Purpose:

  • To enhance the recognition and diagnosis of abdominal tuberculosis in pediatric patients.
  • To analyze the clinical significance of various diagnostic tests for abdominal TB in children.

Summary:

  • Retrospective analysis of 30 pediatric abdominal TB cases revealed high rates of initial misdiagnosis.
  • Common symptoms included abdominal pain, distension, and altered bowel habits, with all patients exhibiting positive abdominal signs.
  • Extra-abdominal TB was prevalent (24/30), with PPD tests (93%) and ultrasound (100%) showing high positivity. Exploratory laparotomy and colonoscopy provided pathological confirmation.

Impact:

  • Highlights the importance of considering abdominal TB in children with gastrointestinal symptoms.
  • Emphasizes the utility of PPD testing and ultrasound in early diagnosis.
  • Suggests that colonoscopy and laparotomy are valuable for definitive pathological diagnosis.
Abstract

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