Chilhood pleural tuberculosis in a region of high prevalence of tuberculosis: A review of 96 cases

• Autores: Reto Valiente , Luz, Hironaka Ichiyanagui , Carlos, Pichilingue Reto , Catherina, Alcántara Castro , Carlos, Takami Angeles , Felix, Mendoza Fox , Carlos, Castillo Bazán , Wilfredo, Pichilingue Reto , Patricia
• Formato: artículo
• Fecha de Publicación: 2013
• Institución: Colegio Médico del Perú
• Repositorio: Acta Médica Peruana
• Lenguaje: español
• OAI Identifier: oai:amp.cmp.org.pe:article/1345
• Enlace del recurso: https://amp.cmp.org.pe/index.php/AMP/article/view/1345
• Nivel de acceso: acceso abierto
• Materia: Tuberculosis; tuberculosis pleural; niño; diagnóstico de tuberculosis pleural; mycobacterium tuberculosis; child; diagnostic

Study objective: To describe the clinical features, radiographics, laboratory and bacteriologic findings of pediatric patients with tuberculous pleural effusion. Material and Methods: It is a retrospective study. We have collected information from medical records of inpatients < 16 years old, who were admitted at Hipolito Unanue Hospital from January 2003 to December 2012, with diagnosis of tuberculous pleuritis. Results: Ninety – six children were diagnosed with tuberculous pleural effusion. The median age was 11 years. 60.42% of the patients were eutrophic, 26.04%were overweight or obese and only 13.65%suffered of malnutrition. Positive tuberculin skin tests were seen in 89.86%. Pleural effusion was the sole radiographic manifestation in 36.5% of cases and parenchymal disease was associated in 63.5% of the patients. Bacteriologic confirmation of tuberculosis was achieved in 13 cases (13.5%). Antituberculous therapy for 6 months was effective in all cases. Conclusions: Tuberculous pleural effusion was usually associated with a positive tuberculin skin test, and lung parenquimal infiltrates. A short course of chemotherapy is effective.