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Published on: September 5, 2017
Pulmonary tuberculosis in infants under one year of age
Zeynep Arikan-Ayyildiz1, Nevin Uzuner, Handan Cakmakçi
1Department of Pediatric Allergy and Immunology, Dokuz Eylül University, Faculty of Medicine, Izmir, Turkey.
Insights
Pediatric tuberculosis in infants under one year old presents with cough and tachypnea. Early diagnosis and treatment of infant tuberculosis are crucial for positive outcomes.
Area of Science:
- Pediatrics
- Infectious Diseases
- Radiology
Background:
- Tuberculosis (TB) in infants under one year of age is a significant global health concern.
- Understanding the clinical and radiological manifestations is crucial for timely diagnosis and management.
- Limited data exists on the specific features of TB in this vulnerable age group.
Purpose of the Study:
- To describe the clinical and radiological features of tuberculosis in infants under 12 months of age.
- To identify common symptoms, diagnostic findings, and treatment responses.
Main Methods:
- Retrospective review of medical records for six infants (≤12 months) with confirmed tuberculosis.
- Analysis of clinical symptoms, radiological findings, microbiological cultures, and treatment outcomes.
Main Results:
- Cough and tachypnea were the predominant clinical features.
- Mycobacterium tuberculosis was cultured from gastric aspirates (4/5) and cerebrospinal fluid (1/1).
- Radiological findings included lung consolidation (4/6) and lymphadenopathy (4/6), with calcifications in two cases.
Conclusions:
- Infant tuberculosis often presents with non-specific symptoms like cough and tachypnea.
- Microbiological confirmation is key, with gastric aspirates being a valuable source.
- Radiological findings like consolidation and lymphadenopathy are common.
- Antituberculous treatment is generally well-tolerated, leading to significant radiological improvement.
Abstract:
This study describes the clinical and radiological features of tuberculosis in infants under one year of age. Medical records were reviewed for infants aged 12 months or less with proven tuberculosis. Six patients' data were evaluated. Cough and tachypnea were the major symptom and sign, respectively. Contact with an adult case of tuberculosis was present in five of the cases. Tuberculin skin test was positive in only one case. Mycobacterium tuberculosis was cultured from gastric aspirates of four of five infants and from cerebrospinal fluid in one case. Consolidation was the most common parenchymal lung lesion occurring in four of the patients. Mediastinal or hilar lymphadenopathies were also detected in four of the patients and calcifications were seen within the enlarged nodes in two of them. Antituberculous treatment appeared to be well tolerated without significant adverse effects. Significant radiological improvement was noted after a mean period of 4.6 months.
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