Childhood tuberculosis in a reference children's hospital after admission of refugees
Aim: We aimed to evaluate epidemiologic, clinical, laboratory, microbiologic features, treatment and outcomes of pediatric tuberculosis (TB) patients also to draw attention to immigrant patients. Material- Methods: We retrospectively conducted the medical records of children below 18 years of age wi...
| Main Authors: | , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Rabia Yılmaz
2021-03-01
|
| Series: | Journal of Contemporary Medicine |
| Subjects: | |
| Online Access: | https://dergipark.org.tr/tr/download/article-file/1474779 |
| _version_ | 1797860704055721984 |
|---|---|
| author | Ayşe Kaman Ozge Metin |
| author_facet | Ayşe Kaman Ozge Metin |
| author_sort | Ayşe Kaman |
| collection | DOAJ |
| description | Aim: We aimed to evaluate epidemiologic, clinical, laboratory, microbiologic features, treatment and outcomes of pediatric tuberculosis (TB) patients also to draw attention to immigrant patients.
Material- Methods: We retrospectively conducted the medical records of children below 18 years of age with TB between January 2015 and September 2016.
Results: A total of 20 TB patients (35% were Syrian refugees, total 65% female) with a median age of 135.5±52.6 months were evaluated. Fourteen (70%) patients were adolescent. The history of contact with an active TB disease patient was found in seven (35%) patients. Four (20%) patients had no complaint at admission whereas the most common symptom was prolonged cough > 2 weeks. Fifteen (75%) patients had a Bacillus Calmette–Guérin scar on the left shoulder. A total of 16 (80%) patients had a positive tuberculin skin test (TST) result. Microbiological confirmation was provided in four (20%) patients totally. The most common chest X-ray findings on admission were hilar lymphadenopathy. Ten (50%) patients had normal chest X-ray and were diagosed with abnormal thorax tomography findings. All of the patients were treated succesfully except one Syrian patients with miliary TB who died.
Conclusion: Microbiological confirmation of childhood TB may be absent and the diagnosis can be confirmed in the light of contact history, positive TST reaction, compatible symtomps and radiological evidence. Particular attention might be paid to Syrian refugees, taking into epidemiological characteristics of TB disease and the density of immigrants in the place we live in. |
| first_indexed | 2024-04-09T21:51:01Z |
| format | Article |
| id | doaj.art-c56893fb7a32465fafd65e2b06a07307 |
| institution | Directory Open Access Journal |
| issn | 2667-7180 |
| language | English |
| last_indexed | 2024-04-09T21:51:01Z |
| publishDate | 2021-03-01 |
| publisher | Rabia Yılmaz |
| record_format | Article |
| series | Journal of Contemporary Medicine |
| spelling | doaj.art-c56893fb7a32465fafd65e2b06a073072023-03-24T19:43:21ZengRabia YılmazJournal of Contemporary Medicine2667-71802021-03-0111216016510.16899/jcm.8489371809Childhood tuberculosis in a reference children's hospital after admission of refugeesAyşe Kaman0Ozge Metin1ANKARA DR. SAMİ ULUS KADIN DOĞUM ÇOCUK SAĞLIĞI VE HASTALIKLARI SAĞLIK UYGULAMA VE ARAŞTIRMA MERKEZİNecmettin Erbakan UniversityAim: We aimed to evaluate epidemiologic, clinical, laboratory, microbiologic features, treatment and outcomes of pediatric tuberculosis (TB) patients also to draw attention to immigrant patients. Material- Methods: We retrospectively conducted the medical records of children below 18 years of age with TB between January 2015 and September 2016. Results: A total of 20 TB patients (35% were Syrian refugees, total 65% female) with a median age of 135.5±52.6 months were evaluated. Fourteen (70%) patients were adolescent. The history of contact with an active TB disease patient was found in seven (35%) patients. Four (20%) patients had no complaint at admission whereas the most common symptom was prolonged cough > 2 weeks. Fifteen (75%) patients had a Bacillus Calmette–Guérin scar on the left shoulder. A total of 16 (80%) patients had a positive tuberculin skin test (TST) result. Microbiological confirmation was provided in four (20%) patients totally. The most common chest X-ray findings on admission were hilar lymphadenopathy. Ten (50%) patients had normal chest X-ray and were diagosed with abnormal thorax tomography findings. All of the patients were treated succesfully except one Syrian patients with miliary TB who died. Conclusion: Microbiological confirmation of childhood TB may be absent and the diagnosis can be confirmed in the light of contact history, positive TST reaction, compatible symtomps and radiological evidence. Particular attention might be paid to Syrian refugees, taking into epidemiological characteristics of TB disease and the density of immigrants in the place we live in.https://dergipark.org.tr/tr/download/article-file/1474779çocuksuriyeli mültecilertüberkülozsyrian refugeestuberculosischildren |
| spellingShingle | Ayşe Kaman Ozge Metin Childhood tuberculosis in a reference children's hospital after admission of refugees Journal of Contemporary Medicine çocuk suriyeli mülteciler tüberküloz syrian refugees tuberculosis children |
| title | Childhood tuberculosis in a reference children's hospital after admission of refugees |
| title_full | Childhood tuberculosis in a reference children's hospital after admission of refugees |
| title_fullStr | Childhood tuberculosis in a reference children's hospital after admission of refugees |
| title_full_unstemmed | Childhood tuberculosis in a reference children's hospital after admission of refugees |
| title_short | Childhood tuberculosis in a reference children's hospital after admission of refugees |
| title_sort | childhood tuberculosis in a reference children s hospital after admission of refugees |
| topic | çocuk suriyeli mülteciler tüberküloz syrian refugees tuberculosis children |
| url | https://dergipark.org.tr/tr/download/article-file/1474779 |
| work_keys_str_mv | AT aysekaman childhoodtuberculosisinareferencechildrenshospitalafteradmissionofrefugees AT ozgemetin childhoodtuberculosisinareferencechildrenshospitalafteradmissionofrefugees |