Paediatric tuberculosis: A decade-long experience in a tertiary care centre
Journal Title: Indian Journal of Child Health - Year 2018, Vol 5, Issue 2
Abstract
Background: The World Health Organization estimates in 2013 revealed that up to 80,000 children die from tuberculosis (TB) each year and children account for over half a million new cases annually. The incidence of extrapulmonary TB (EPTB) is also on the rise. Aims: To study and note the total pediatric TB cases reported over a decade. Analysis of EPTB at the center was also attempted. Methods: Retrospective analysis of TB cases diagnosed during the past decade was attempted, through information registered in the hospital TB registry. Cases aged <18 years were identified as pediatric TB. Pulmonary TB and EPTB cases were analyzed. Results: All of 289 pediatric TB cases were identified from a total of 1389 TB cases in general. Pediatric TB comprised 20% of the diagnosed. Among these, 176 patients were pulmonary TB, amounting to 60% of all cases of TB. The remaining 113 cases were identified to be that of extrapulmonary TB constituting 40% of the total study populace. Among EPTB, lymph node TB was the most common subtype amounting for 42% of all cases of EPTB. This was followed by skeletal TB (23%), pleural TB (12%), gastrointestinal TB (11.5%), nervous system TB (5%), and cutaneous and genitourinary TB accounted for 2.6% each. Conclusion: Childhood TB is an underdiagnosed entity in India. EPTB is alarmingly on the rise, and clinicians need to be wary of the presentations and pitfalls in diagnosis. Awareness of the same is quintessential.
Authors and Affiliations
K Madhava Kamath, B H Giridhar, Prijo Philip
Keywords
Related Articles
- EP ID EP461539
- DOI -
- Views 63
- Downloads 0
Managing pearly prepuce - Active communication and masterly inaction
Epstein pearls are small inclusion cysts and are found on the hard palate of the newborn infants in the early neonatal age. These may be present on the prepuce and are referred as prepucial Epstein pearl. Epstein pearls...
Effect on nosocomial sepsis of topical oil application, skin condition, and care practice device usage in preterm neonates: A randomized controlled trial
Introduction: Compromised skin barrier increases the susceptibility of high-risk preterm neonates to nosocomial sepsis. Thus, topical oil application may be a promising strategy for improving neonatal outcomes. Objective...
Are we still misdiagnosing clubfoot? A study of non-clubfoot cases labeled or referred as clubfoot from primary care centers in Uttarakhand
Background: Clubfoot is a congenital disorder identifiable with the clinical assessment itself, provided the knowledge of key features is sound. Several disorders affecting the foot and lower limb that present with crook...
Neonatal resuscitation guidelines - A survey among pediatricians attending a newborn conference in North Kerala
Background: Meticulous understanding and adequate skills for prompt neonatal resuscitation by health-care personnel working in the labor, maternity, and newborn units is important. Various studies have identified areas o...
Neonatal Jaundice: Knowledge, attitude beliefs, and practices of postnatal mothers in a tertiary care hospital in Uttarakhand, India
Background: Neonatal jaundice (NNJ), a preventable cause of brain damage, is the most common cause of admission in the 1st week of life in neonatal intensive care unit. Objective: To determine the knowledge attitude and...