Volume : VII, Issue : II, February - 2018

Types of Tuberculosis in Children Under 15 Years of Age –A Hospital Based Observational Study

Dr. Md. Mozammel Haque, Dr. Kamrunnaher Shultana, Dr. Foyjunnaher Sultana, Dr. Mahbuba Jahan Sharmin, Dr. Shahabuddin Mahmud

Abstract :

 

Objective: This study was conducted to determine the frequency of different pattern of Tuberculosis (TB) in children under the age of 15 years and to evaluate its clinical spectrum in a tertiary care hospital. Methodology: This observational study was conducted in the outpatient department (OPD) of 250 Bedded TB Hospital, Shyamoli, Dhaka, between October 2016 to September 2017. A total of 187 children of either sex, aged 0 to 15 years with Tuberculosis (TB) were enrolled in this study. The data were processed and analyzed in relation to age, sex, socioeconomic status, contact history, BCG vaccination status and clinical presentation. Results: Among the 187 cases of TB, 137 (73%) had extra pulmonary TB and 50 (27%)   had pulmonary TB, commonest age group was 6 to 15 years with female preponderance. Majority (46.7%) of EPTB cases involved the lymphnodes followed by TB meningitis (11.67%), osteoarticular TB (11.67%), pleural effusion (8.02%), osteomyelitis (5.10%), abdominal TB (4.37%) and localized TB abscess (3.64%). The cervical lymphadenitis (82.81%) was the commonest followed by mediastinal (7.81%), inguinal (4.68%) and axillary (4.68%). Along with the higher percentage of smear positive PTB cases (50%), one military TB and one multidrug resistant TB (MDR TB) were detected.  Pulmonary tuberculosis (PTB) commonly presented with fever, cough, anorexia, weight loss & dyspnoea. TB lymphadenitis had systemic presentation more (58%) than that of local (42%). Among the total study cases 14% had contact with smear positive patients and 73% being positive for Tuberculin test (MT). Conclusion: Extra pulmonary tuberculosis is more prevalent among childhood tuberculosis predominantly cervical TB lymphadenitis and commonest age group is 6 to 15.

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Article: Download PDF   DOI : 10.36106/ijsr  

Cite This Article:

Dr. Md. Mozammel Haque, Dr. Kamrunnaher Shultana, Dr. Foyjunnaher Sultana, Dr. Mahbuba Jahan Sharmin, Dr. Shahabuddin Mahmud, Types of Tuberculosis in Children Under 15 Years of Age -A Hospital Based Observational Study, INTERNATIONAL JOURNAL OF SCIENTIFIC RESEARCH : Volume-7 | Issue-2 | February-2018

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