Abstract

Session presented on Saturday, November 7, 2015 and Sunday, November 8, 2015:

Objective: Our aim was to analyze the epidemiology and evaluate clinical features (symptoms) to search efficient tools helping to diagnose extra-pulmonary and pulmonary childhood tuberculosis.

Methods: We retrospectively reviewed medical records of patients aged less than 17 years, treated for active tuberculosis (TB) from January 2000 to January 2008 at Hospital Universitario Dr. Jose Eleuterio Gonzalez.

Result: Total of 45 patients with active TB were identified. Thirty- three children (73%) had extra-pulmonary TB (EPTB); the remaining had pulmonary TB (PTB). Mycobacterium tuberculosis was isolated mainly in the central nervous system and the meninges (27%). According to clinical observation, fever, cough and weight loss were present in most patients with pulmonary TB. Fever was the only symptom related within extra-pulmonary cases. Different analyses were performed to confirm diagnosis, such as direct microscopic screening of stained slides for acid-fast bacilli (AFB), culture, PCR, TST and chest radiography.

Conclusion: The majority of patients had extra-pulmonary TB. Fever was associated with both EPTB and PTB. Only cough and weight loss showed a significant difference between EPTB and PTB.

Description

43rd Biennial Convention 2015 Theme: Serve Locally, Transform Regionally, Lead Globally.

Author Details

Sandra Cecilia Esparza-Gonzalez, RN; Pedro Enrique Trujillo-Hernandez, RN; Angeles Villarreal-Reyna, RN; Mauricio Salinas, RN

Sigma Membership

Non-member

Type

Poster

Format Type

Text-based Document

Study Design/Type

N/A

Research Approach

N/A

Keywords:

Children, Tuberculosis, BCG Vaccine

Conference Name

43rd Biennial Convention

Conference Host

Sigma Theta Tau International

Conference Location

Las Vegas, Nevada, USA

Conference Year

2015

Rights Holder

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All permission requests should be directed accordingly and not to the Sigma Repository.

All submitting authors or publishers have affirmed that when using material in their work where they do not own copyright, they have obtained permission of the copyright holder prior to submission and the rights holder has been acknowledged as necessary.

Review Type

Abstract Review Only: Reviewed by Event Host

Acquisition

Proxy-submission

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Cervical tuberculous lymphadenitis in a BCG vaccinated child

Las Vegas, Nevada, USA

Session presented on Saturday, November 7, 2015 and Sunday, November 8, 2015:

Objective: Our aim was to analyze the epidemiology and evaluate clinical features (symptoms) to search efficient tools helping to diagnose extra-pulmonary and pulmonary childhood tuberculosis.

Methods: We retrospectively reviewed medical records of patients aged less than 17 years, treated for active tuberculosis (TB) from January 2000 to January 2008 at Hospital Universitario Dr. Jose Eleuterio Gonzalez.

Result: Total of 45 patients with active TB were identified. Thirty- three children (73%) had extra-pulmonary TB (EPTB); the remaining had pulmonary TB (PTB). Mycobacterium tuberculosis was isolated mainly in the central nervous system and the meninges (27%). According to clinical observation, fever, cough and weight loss were present in most patients with pulmonary TB. Fever was the only symptom related within extra-pulmonary cases. Different analyses were performed to confirm diagnosis, such as direct microscopic screening of stained slides for acid-fast bacilli (AFB), culture, PCR, TST and chest radiography.

Conclusion: The majority of patients had extra-pulmonary TB. Fever was associated with both EPTB and PTB. Only cough and weight loss showed a significant difference between EPTB and PTB.