A Study of Clinico-demographic Profile of Children with Presumptive Pulmonary Tuberculosis at Tertiary Health Care Institute
MedPulse International Journal of Microbiology
Tuberculosis (TB) is an air borne disease caused by Mycobacterium tuberculosis. Though lung is the most common organ affected by TB, it can involve any organ system. TB is one of the leading causes of morbidity and mortality worldwide from an infectious disease. India has the highest TB burden in the world, with a considerable amount of cases falling in the age group 0-14 years. Hence childhood tuberculosis is a major concern in our country. Aims and Objectives: To study the clinico-demographic
... profile of children with presumptive pulmonary tuberculosis at a tertiary health care centre. Materials and Methods: A prospective study carried out in 120 clinically suspected cases of pulmonary TB in children in the age group 0 to 10 years. Data collected with pretested questionnaire. Data included demographic data, clinical features and risk factors. Patients were analysed for clinical profile and risk factors. Results: Male to female ratio was 1.2:1. Maximum number of cases (30%) was in the age group 8-10 years. The most frequent symptoms in these children were cough ≥3wks and fever (99.2%). Significantly higher percentage of cases (54.2%) had history of TB contact. ESR was elevated in 84.2% of cases, whereas Mantoux test was positive in 59.2% cases and 37.5% had abnormal Chest X-ray findings suggestive of pulmonary TB. There was retroperitoneal lymphadenopathy in 66.7% of the cases and cervical lymphadenopathy was noted in 3.3% cases. Conclusion: In children, TB is often missed or overlooked due to non-specific symptoms and difficulty in diagnosis. A majority of these cases are diagnosed on the basis of clinical suspicion supported by various investigation results. Presence of history of TB contact increases the risk of contracting childhood TB considerably.