The use of Gene-Xpert MTB RIF in the diagnosis of extrapulmonary tuberculosis in childhood and adolescence

Abstract INTRODUCTION: Gene-Xpert MTB RIF (Xpert) is based on nucleic acid amplification by real-time polymerase chain reaction, which allows for the identification of Mycobacterium tuberculosis and rifampin resistance. We describe the use of Xpert for extrapulmonary tuberculosis (EPTB) in childre...

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Main Authors: Rafaela Baroni Aurilio, Vivian Vidal Marsili, Thiago da Silva Santos Malaquias, Afrânio Lineu Kritski, Clemax Couto Sant’Anna
Format: Article
Language:English
Published: Sociedade Brasileira de Medicina Tropical (SBMT) 2020-10-01
Series:Revista da Sociedade Brasileira de Medicina Tropical
Subjects:
Online Access:http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0037-86822020000100664&tlng=en
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author Rafaela Baroni Aurilio
Vivian Vidal Marsili
Thiago da Silva Santos Malaquias
Afrânio Lineu Kritski
Clemax Couto Sant’Anna
author_facet Rafaela Baroni Aurilio
Vivian Vidal Marsili
Thiago da Silva Santos Malaquias
Afrânio Lineu Kritski
Clemax Couto Sant’Anna
author_sort Rafaela Baroni Aurilio
collection DOAJ
description Abstract INTRODUCTION: Gene-Xpert MTB RIF (Xpert) is based on nucleic acid amplification by real-time polymerase chain reaction, which allows for the identification of Mycobacterium tuberculosis and rifampin resistance. We describe the use of Xpert for extrapulmonary tuberculosis (EPTB) in children and adolescents. METHODS: A case series of two reference centers in Rio de Janeiro from 2014-2019. RESULTS: The final diagnosis of EPTB was established in 11/36 (31%) patients, with five cases detectable by Xpert. For lymph node evaluation (9/11), diagnosis by Xpert occurred in 5/9 patients, all with caseous aspects. CONCLUSIONS: Xpert can facilitate the rapid diagnosis of lymph node tuberculosis.
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spelling doaj.art-bd9a2824f1b844f1b88dbf91492b4dc82022-12-22T02:26:49ZengSociedade Brasileira de Medicina Tropical (SBMT)Revista da Sociedade Brasileira de Medicina Tropical1678-98492020-10-015310.1590/0037-8682-0104-2020The use of Gene-Xpert MTB RIF in the diagnosis of extrapulmonary tuberculosis in childhood and adolescenceRafaela Baroni Auriliohttps://orcid.org/0000-0003-2727-520XVivian Vidal MarsiliThiago da Silva Santos MalaquiasAfrânio Lineu KritskiClemax Couto Sant’AnnaAbstract INTRODUCTION: Gene-Xpert MTB RIF (Xpert) is based on nucleic acid amplification by real-time polymerase chain reaction, which allows for the identification of Mycobacterium tuberculosis and rifampin resistance. We describe the use of Xpert for extrapulmonary tuberculosis (EPTB) in children and adolescents. METHODS: A case series of two reference centers in Rio de Janeiro from 2014-2019. RESULTS: The final diagnosis of EPTB was established in 11/36 (31%) patients, with five cases detectable by Xpert. For lymph node evaluation (9/11), diagnosis by Xpert occurred in 5/9 patients, all with caseous aspects. CONCLUSIONS: Xpert can facilitate the rapid diagnosis of lymph node tuberculosis.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0037-86822020000100664&tlng=enExtrapulmonaryTuberculosisChildAdolescent
spellingShingle Rafaela Baroni Aurilio
Vivian Vidal Marsili
Thiago da Silva Santos Malaquias
Afrânio Lineu Kritski
Clemax Couto Sant’Anna
The use of Gene-Xpert MTB RIF in the diagnosis of extrapulmonary tuberculosis in childhood and adolescence
Revista da Sociedade Brasileira de Medicina Tropical
Extrapulmonary
Tuberculosis
Child
Adolescent
title The use of Gene-Xpert MTB RIF in the diagnosis of extrapulmonary tuberculosis in childhood and adolescence
title_full The use of Gene-Xpert MTB RIF in the diagnosis of extrapulmonary tuberculosis in childhood and adolescence
title_fullStr The use of Gene-Xpert MTB RIF in the diagnosis of extrapulmonary tuberculosis in childhood and adolescence
title_full_unstemmed The use of Gene-Xpert MTB RIF in the diagnosis of extrapulmonary tuberculosis in childhood and adolescence
title_short The use of Gene-Xpert MTB RIF in the diagnosis of extrapulmonary tuberculosis in childhood and adolescence
title_sort use of gene xpert mtb rif in the diagnosis of extrapulmonary tuberculosis in childhood and adolescence
topic Extrapulmonary
Tuberculosis
Child
Adolescent
url http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0037-86822020000100664&tlng=en
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