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Pediatría Atención Primaria

Print version ISSN 1139-7632

Abstract

GARCIA AYERRA, María; MOSQUERA GOROSTIDI, Arantxa; HERRANZ AGUIRRE, Mercedes  and  GIL SETAS, Alberto. Tuberculous disease in Pediatrics: ten years' experience. Rev Pediatr Aten Primaria [online]. 2019, vol.21, n.82, pp.e61-e66.  Epub Oct 14, 2019. ISSN 1139-7632.

Objective

To describe tuberculosis in Pediatrics from 2005-2015 in Navarra, attending to demographic, clinic, radiologic, microbiologic, treatment and evolution data.

Material and methods

A retrospective descriptive study based on data from the clinical history of patients treated between 2005 and 2015.

Results

We studied 52 patients, 57.7% men, 42.3% women, age: 4 years old. 38.5% are immigrant and 61.5% children from immigrants. During the last 10 years, the distribution has been homogeneous, despite of one outbreak in 2011. 69.2% had symptoms when diagnosed. In 63.5% we knew index case. The most frequent clinical form is the pulmonary one. Simple Rx was pathological in 86,5% of cases and CT was applied in 82,7% (being diagnostic in 95’3% of them). 71,2% of microbiological cultures were positive for Mycobacterium tuberculosis (92,3% of them were sensible to M. tuberculosis sensible to standard treatment). All patients were treated with four drugs and then two up to 6-12 months. Follow up: 84.6% healed, 13.5% healed but there were sequelae and one of our patients died.

Conclusion

Tuberculosis represents a problem in children health. Pulmonary tuberculosis is the most frequent clinical form. Normally, it evolves favourably but morbimortality exists. It is essential to consider tuberculosis in order to have an early diagnosis and treatment.

Keywords : Tuberculosis; Mycobacterium tuberculosis; Mantoux.

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