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Differences between pediatric extra-pulmonary and pulmonary tuberculosis: a warning sign for the future
Ilker Devrim1, Hüseyin Aktürk1, Nuri Bayram1
1Department of Pediatric Infectious Diseases, Dr. Behçet Uz Children's Hospital, İzmir, Turkey.
Insights
Extrapulmonary tuberculosis (TB) in children often presents without typical symptoms, making diagnosis challenging. Identifying the adult source of infection is crucial for controlling childhood TB.
Area of Science:
- Pediatrics
- Infectious Diseases
- Public Health
Background:
- Tuberculosis (TB) remains a significant global health challenge.
- Childhood TB presents unique diagnostic complexities.
- This study examines epidemiological, clinical, and microbiological features of pediatric TB.
Purpose of the Study:
- To describe and compare the features of pulmonary TB (PTB) and extrapulmonary TB (EXPTB) in children.
- To highlight diagnostic challenges in pediatric TB.
Main Methods:
- Retrospective data collection of pediatric TB patients (<14 years).
- Comparison of patient data between PTB and EXPTB groups.
Main Results:
- 128 pediatric TB cases analyzed.
- 75% PTB, 25% EXPTB.
- EXPTB cases showed a higher rate of absence of constitutional symptoms compared to PTB.
Conclusions:
- Extrapulmonary TB in children often has a silent onset without constitutional symptoms.
- Microbiological confirmation and adult source detection are less frequent in EXPTB.
- Identifying the adult source is essential for controlling childhood TB.
Background:
Tuberculosis (TB) remains a major global health problem. The childhood tuberculosis has some unique features different which makes the diagnosis more complicated. Here we described the epidemiologic, clinical and microbiologic features of children with extra pulmonary and pulmonary TB.
Methods:
The data of the patients <14 years with active TB were collected and compared in pulmonary (PTB) and extrapulmonary TB (EXPTB) patients.
Results:
A total of 128 cases was included. Forty-two cases occurred in children were < 5 years of age; 41 cases between 6-10 years and 45 cases > 10 years. PTB was present in 75,0% of the cases, and EXPTB was present in 25% of cases. There was no significant difference between the EXPTB and PTB by means of distribution of age groups (p=0,201). The rate of patients free of constitutional symptoms were significantly higher in EXPTB compared to PTB(p=0,000). There was no significant difference between EXPTB and PTB by means of sources detection(p=0,069).
Conclusion:
TB is still a major public health problem. EXPTB has an insidious and silent onset without any constitutional symptoms, and both microbiological confirmation and the source by an adult are not frequently found. Moreover, detection of the adult source is mandatory for controlling the TB disease in children.
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