RT Journal Article
SR Electronic
T1 Clinical features of extrapulmonary tuberculosis in children
JF Saudi Medical Journal
JO Saudi Med J
FD Prince Sultan Military Medical City
SP 750
OP 753
VO 26
IS 5
A1 Uysal, Gulnar
A1 Gursoy, Tugba
A1 Guven, Akif
A1 Gunindi, Figen
A1 Cuhaci, Bahar
YR 2005
UL http://smj.org.sa/content/26/5/750.abstract
AB OBJECTIVE: To review the clinical features of the extrapulmonary tuberculosis (TB) in children.METHODS: Sixty-four children with extrapulmonary TB followed in Ankara Social Security Childrens Hospital between June 1995 and May 2003 were reviewed.RESULTS: The mean age was 7.5 ± 4.1 years. The most commonly involved sites were the central nervous system [(CNS) 16 cases] and pleura (14 cases). Aside from this, 10 children had a diagnosis of miliary TB. Abdominal TB (median age of 12 years) and pleural effusion (median age of 10.9 years) were mostly seen in older children while miliary TB was encountered more frequently in younger children (median age 2.5 years). A positive family history of active TB was detected in 39% of the cases. There was consanguinity between parents in 23 (35.9%) of the cases. Twenty-five (39%) cases had no Bacillus Calmette-Guerin vaccination scar. One case with CNS TB expired. Sequelae observed during the follow up were; motor-mental retardation in 3 cases, hemiparesis in 2 cases, strabismus in one case with CNS TB and vertebral deformation in 2 cases with Pott's disease.CONCLUSION: Severe forms such as CNS and miliary TB constituted an important percentage of childhood extrapulmonary TB cases.