THE COURSE OF PYELONEPHRITIS IN CHILDREN AND ADOLESCENTS INFECTED IN THE PAST AND UNINFECTED WITH MYCOBACTERIUM TUBERCULOSIS
Objective: to evaluate the course of pyelonephritis in children and adolescents infected since the past years and uninfected with Mycobacterium tuberculosis. The study included 50 patients aged 3 to 17 years with acute and chronic pyelonephritis. Clinical, laboratory, instrumental, and functional ex...
| Main Authors: | , , |
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| Format: | Article |
| Language: | Russian |
| Published: |
Ltd. “The National Academy of Pediatric Science and Innovation”
2017-01-01
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| Series: | Rossijskij Vestnik Perinatologii i Pediatrii |
| Subjects: | |
| Online Access: | https://www.ped-perinatology.ru/jour/article/view/422 |
| Summary: | Objective: to evaluate the course of pyelonephritis in children and adolescents infected since the past years and uninfected with Mycobacterium tuberculosis. The study included 50 patients aged 3 to 17 years with acute and chronic pyelonephritis. Clinical, laboratory, instrumental, and functional examinations were used, by obligatorily verifying the uropathogenic etiological factor. The investigators identified contacts with tuberculosis patients and analyzed the results of BCG vaccination, Mantoux test, and, if indicated, chest X-ray, and urine test for Mycobacterium tuberculosis by flotation and culture methods. Among the 50 children with pyelonephritis, 24 patients were diagnosed with Mycobacterium tuberculosis infection since the previous years (more than 1 year); one had the early stage of primary tuberculosis infection. Among the 25 infected children, one patient was detected to have intrathoracic lymph node tuberculosis in the calcification phase (no evidence of activity). Conclusion. One-half of the children with pyelonephritis were found to have Mycobacterium tuberculosis infection; of them, one-half of the cases were identified to have contacted a patient with tuberculosis and the signs of its activity, as shown by a tuberculin test and Diaskintest®. The findings give grounds to consider children with pyelonephritis to be at risk for renal tuberculosis. |
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| ISSN: | 1027-4065 2500-2228 |