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Post-tuberculosis Sequelae in Children
1Division of Pediatric Pulmonology, Allergy and Sleep Medicine, Centre for Child Health, BLK MAX Hospital, Pusa Road, New Delhi, 110056, India.
Insights
Tuberculosis (TB) cure often overlooks long-term complications in children. This review highlights post-TB disease manifestations and risk factors, urging physician awareness and more research.
Area of Science:
- Pediatric infectious diseases
- Public health
- Clinical medicine
Background:
- Tuberculosis (TB) poses a significant global health burden, particularly in the Indian subcontinent.
- Current TB treatment protocols focus on cure but often neglect long-term sequelae.
- Limited data exists on the long-term complications of TB in children.
Purpose of the Study:
- To review and discuss various post-TB disease manifestations in children.
- To identify risk factors associated with the development of these sequelae in pediatric populations.
- To raise awareness among healthcare providers managing childhood TB.
Main Methods:
- Literature review focusing on post-TB sequelae in children.
- Synthesis of existing data on clinical, neurological, and spinal deformities following TB in pediatric patients.
- Identification of risk factors from available studies.
Main Results:
- Post-TB lung disease, neurological deficits, and spinal deformities are significant sequelae in children.
- Specific risk factors contributing to these long-term complications require further investigation.
- There is a notable gap in scientific data regarding pediatric post-TB complications.
Conclusions:
- Long-term sequelae of tuberculosis in children require greater attention and systematic follow-up.
- Increased physician awareness and targeted research are crucial for managing pediatric TB survivors.
- Further studies are needed to elucidate risk factors and develop effective interventions for post-TB complications in children.
Abstract:
Tuberculosis (TB) is a global health problem especially in the Indian subcontinent imposing significant physical, psychosocial and economic burden on the society. Most national programs define TB cure as completion of treatment with improvement in clinical symptoms, microbiological and radiological clearance. However, follow up these patients for long-term sequelae or complications has not got adequate attention. Post-TB lung disease, neurological deficits and spinal deformities are some of the post-TB sequelae reported in adults, with scanty data available for children. With this review authors attempt to discuss various post-TB disease manifestations and the risk factors associated with their development in children. They address the need to create awareness amongst physicians involved in managing children with TB and obtain more scientific data in this field.
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