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179786

Extrapulmonary Tuberculosis is the Leading Presentation among Hospitalized Children: A Single-Center Experience in a Decade

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Last updated: 22 Jan 2023

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Abstract

Background: With an incidence of twelve tuberculosis (TB) cases for every 100,000 persons in 2019, Egypt is considered a medium-burden country. Nevertheless, guidelines and studies for admission of pediatric TB cases are lacking in developing countries.
Aim of the Work: To describe the clinical presentations of hospitalized pediatric TB cases.
Materials and Methods: A retrospective analytical study of data collected from the inpatient medical files of children with confirmed TB, from the archives of Giza Chest Hospital (Omraneya), Egypt was implemented during January 2009 to the end of 2018. 
Results: Of the 76 children hospitalized with TB, 42 were males with a male to female ratio of 1.2:1, 61 (80.3%) patients were from rural areas, and 65 (85.5%) were above six years of age. Extra-pulmonary TB was more common (45 patients; 59.2%) than pulmonary TB (31 patients; 40.8%). Tuberculous LN affection was (N=20) 26.2% of total patients, followed by pleural affection (N=17), then affection of bones (N=4). CNS involvement was among least common presentations (N=4; 5.3%), but was the only type of TB to occur more in preschool children. Moreover, there was an annual rate of change of -2.714 in the recorded numbers of pediatric TB inpatients with no cases in the last two years.
Conclusion: Extra-pulmonary TB was more common than pulmonary TB among the hospitalized children. Lymph nodes were the most common extra-pulmonary site of affection. School-aged children were a majority as well as rural residents. These findings warrant evoking awareness among physicians about the various presentations of pediatric TB.

DOI

10.21608/cupsj.2021.77577.1021

Keywords

clinical presentation, Egypt, inpatient, Pediatric, tuberculosis

Authors

First Name

Christine

Last Name

Basanti

MiddleName

W.B.

Affiliation

Department of Pediatrics, Faculty of Medicine, Cairo University, Egypt.

Email

christine.w.shaker@gmail.com

City

-

Orcid

0000-0002-3149-9233

First Name

Sonia

Last Name

El Saiedi

MiddleName

A.

Affiliation

Department of Pediatrics, Faculty of Medicine, Cairo University, Egypt.

Email

myheartclinic@windowslive.com

City

Cairo

Orcid

0000-0001-6992-4242

First Name

Mai

Last Name

Moawad

MiddleName

M.K.

Affiliation

Department of Pediatrics, Fayoum General Hospital, Egypt.

Email

maimahdy927@gmail.com

City

-

Orcid

-

First Name

Azza

Last Name

Abdelmegeid

MiddleName

K.

Affiliation

Department of Pediatrics, Faculty of Medicine, Cairo University, Egypt.

Email

azzakamal1718@gmail.com

City

01005256053

Orcid

0000-0002-6665-3771

Volume

1

Article Issue

2

Related Issue

25899

Issue Date

2021-07-01

Receive Date

2021-05-25

Publish Date

2021-07-01

Page Start

89

Page End

97

Print ISSN

2805-279X

Online ISSN

2682-3985

Article File

CUPSJ_Volume 1_Issue 2_Pages 89-97.pdf

PDF . 814.8kB

Link

https://cupsj.journals.ekb.eg/article_179786.html

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https://cupsj.journals.ekb.eg/service?article_code=179786

Order

5

Type

Original Research

Type Code

1,229

Publication Type

Journal

Publication Title

Pediatric Sciences Journal

Publication Link

https://cupsj.journals.ekb.eg/

MainTitle

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Details

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Article

Created At

22 Jan 2023