Clinical Review of Pulmonary Tuberculosis in Teenagers According to the Involved Lung.
- Author:
Bong Chil IM
1
;
Young KIM
;
Kyoung Sim KIM
;
Yong Wook KIM
;
Eun Young KIM
;
Eun Jung YOU
;
Ju Hee YOU
;
Hyoung Min CHO
Author Information
1. Department of Pediatrics, Kwang-ju Christian Hospital, Gwang-ju, Korea. drcho92@hanmail.net
- Publication Type:Original Article
- Keywords:
Tuberculosis;
Lower lung field TB;
Adolescent
- MeSH:
Adolescent;
Cough;
Fever;
Humans;
Lung;
Lymphatic Diseases;
Male;
Medical Records;
Pleural Effusion;
Pleurisy;
Polymerase Chain Reaction;
Prevalence;
Retrospective Studies;
Sputum;
Sweat;
Sweating;
Tuberculoma;
Tuberculosis;
Tuberculosis, Pulmonary
- From:Korean Journal of Pediatric Infectious Diseases
2010;17(2):148-155
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
PURPOSE: The purpose of this study was to investigate clinical features and culture-positive rates according to the involved lung in adolescent pulmonary tuberculosis (TB). METHODS: We retrospectively reviewed the medical records of adolescents who ranged in age from 10 to 20 years and who had been hospitalized with a diagnosis of TB at Kwangju Christian Hospital from 2000 to 2008. RESULTS: Sixty-six patients were identified with pulmonary TB: median age 16.82 years; 48.5% males. Among them, 90.9% of patients were between 15 and 20 years of age. Most patients presented with multiple symptoms, and the most common included cough (74.2%), sputum (60.6%), fever (39.5%), and night sweating (18.2%). Sputum samples were smear-positive in 28 (42.4%), culture-positive in 40 (60.6%), and PCR-positive in 46 (69.7%). The most common radiological patterns included cavitation in 18 (27.3%), pleural effusion in 18 (27.3%), lymphadenopathy in 10 (15.2%), and tuberculoma in 5 (7.6%). The prevalence of smear, culture, and PCR positive rates increased as the number of involved lobes increased (P<0.05, P<0.01, P<0.05). The median treatment duration was 7 months. Twelve patients (18.2%) had lower lung field TB (Group A) and forty-four patients (66.7%) had other areas involving TB, except for Group A (Group B), and ten patients (15.1%) had only TB pleurisy (Group C). The difference of clinical characteristics and culture rates between group A and group B was not significant. CONCLUSION: Pulmonary TB toward late adolescence is increasing. We need to pay more attention to lower lung field TB, which is difficult to detect with specific radiographic findings.
