Abdominal tuberculosis in children: A real-world experience of 218 cases from an endemic region.

abdominal tuberculosis children presentation

Journal

JGH open : an open access journal of gastroenterology and hepatology
ISSN: 2397-9070
Titre abrégé: JGH Open
Pays: Australia
ID NLM: 101730833

Informations de publication

Date de publication:
Apr 2020
Historique:
received: 12 07 2019
accepted: 28 07 2019
entrez: 14 4 2020
pubmed: 14 4 2020
medline: 14 4 2020
Statut: epublish

Résumé

Abdominal tuberculosis (ATB) in children poses a diagnostic challenge because of its nonspecific clinical features, which often delay the diagnosis. Our aim was to present our real-world experience and provide an insight into the presentation, pattern of distribution, and diagnosis of the disease. A retrospective review was conducted of case records of all children ≤12 years of age diagnosed with ATB from January 2007 to January 2018. Clinical details and investigations were recorded and analyzed. A total of 218 children (110 boys), with a median age of 10 (0.25-12) years, were included. There was a median delay of 4 (0.5-36) months in establishing the diagnosis. Abdominal pain, fever, and loss of weight were the most common presenting features, with the triad of symptoms present in 54%. Multiple intra-abdominal sites were involved in 118 (54%) patients, with a combination of the gastrointestinal tract (I) and abdominal lymph nodes (L) being the most common (53/118). Among children with single-site involvement ( A triad of abdominal pain, fever, and weight loss is suggestive of ATB. Multiple intra-abdominal sites are frequently involved. Microbiological confirmation is possible in only one-third of the cases.

Sections du résumé

BACKGROUND AND AIM OBJECTIVE
Abdominal tuberculosis (ATB) in children poses a diagnostic challenge because of its nonspecific clinical features, which often delay the diagnosis. Our aim was to present our real-world experience and provide an insight into the presentation, pattern of distribution, and diagnosis of the disease.
METHODS METHODS
A retrospective review was conducted of case records of all children ≤12 years of age diagnosed with ATB from January 2007 to January 2018. Clinical details and investigations were recorded and analyzed.
RESULTS RESULTS
A total of 218 children (110 boys), with a median age of 10 (0.25-12) years, were included. There was a median delay of 4 (0.5-36) months in establishing the diagnosis. Abdominal pain, fever, and loss of weight were the most common presenting features, with the triad of symptoms present in 54%. Multiple intra-abdominal sites were involved in 118 (54%) patients, with a combination of the gastrointestinal tract (I) and abdominal lymph nodes (L) being the most common (53/118). Among children with single-site involvement (
CONCLUSION CONCLUSIONS
A triad of abdominal pain, fever, and weight loss is suggestive of ATB. Multiple intra-abdominal sites are frequently involved. Microbiological confirmation is possible in only one-third of the cases.

Identifiants

pubmed: 32280767
doi: 10.1002/jgh3.12245
pii: JGH312245
pmc: PMC7144780
doi:

Types de publication

Journal Article

Langues

eng

Pagination

215-220

Informations de copyright

© 2019 The Authors. JGH Open: An open access journal of gastroenterology and hepatology published by Journal of Gastroenterology and Hepatology Foundation and John Wiley & Sons Australia, Ltd.

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Auteurs

Sadhna B Lal (SB)

Division of Paediatric Gastroenterology, Hepatology and Nutrition Post Graduate Institute of Medical Education and Research Chandigarh India.

Rishi Bolia (R)

Division of Paediatric Gastroenterology, Hepatology and Nutrition Post Graduate Institute of Medical Education and Research Chandigarh India.

Jagadeesh V Menon (JV)

Division of Paediatric Gastroenterology, Hepatology and Nutrition Post Graduate Institute of Medical Education and Research Chandigarh India.

Vybhav Venkatesh (V)

Division of Paediatric Gastroenterology, Hepatology and Nutrition Post Graduate Institute of Medical Education and Research Chandigarh India.

Anmol Bhatia (A)

Division of Paediatric Gastroenterology, Hepatology and Nutrition Post Graduate Institute of Medical Education and Research Chandigarh India.

Kim Vaiphei (K)

Department of Pathology Post Graduate Institute of Medical Education and Research Chandigarh India.

Rakesh Yadav (R)

FIND-RNTCP, Department of Microbiology Post Graduate Institute of Medical Education and Research Chandigarh India.

Sunil Sethi (S)

Department of Microbiology Post Graduate Institute of Medical Education and Research Chandigarh India.

Classifications MeSH