Hepatitis in children with tuberculosis: a case report and review of the literature.


Journal

BMC pulmonary medicine
ISSN: 1471-2466
Titre abrégé: BMC Pulm Med
Pays: England
ID NLM: 100968563

Informations de publication

Date de publication:
16 Jun 2020
Historique:
received: 28 02 2020
accepted: 11 06 2020
entrez: 18 6 2020
pubmed: 18 6 2020
medline: 9 3 2021
Statut: epublish

Résumé

Hepatitis in young children with tuberculosis (TB) outside miliary TB is not well described and represents a challenge because of the hepatotoxicity associated with first-line anti-TB treatment. We report an antibiotic naïve 13-month-old male from Nepal with pulmonary TB and hepatitis, who improved after TB treatment. We also performed a literature review for TB-associated hepatitis in children. Liver function tests should be considered, when feasible, in infants and young children with pulmonary TB. Testing could help to identify and manage patients with TB-associated hepatic abnormalities, and also to establish a baseline for detection and management of liver injury associated with anti-TB therapy.

Sections du résumé

BACKGROUND BACKGROUND
Hepatitis in young children with tuberculosis (TB) outside miliary TB is not well described and represents a challenge because of the hepatotoxicity associated with first-line anti-TB treatment.
CASE PRESENTATION METHODS
We report an antibiotic naïve 13-month-old male from Nepal with pulmonary TB and hepatitis, who improved after TB treatment. We also performed a literature review for TB-associated hepatitis in children.
CONCLUSIONS CONCLUSIONS
Liver function tests should be considered, when feasible, in infants and young children with pulmonary TB. Testing could help to identify and manage patients with TB-associated hepatic abnormalities, and also to establish a baseline for detection and management of liver injury associated with anti-TB therapy.

Identifiants

pubmed: 32546255
doi: 10.1186/s12890-020-01215-6
pii: 10.1186/s12890-020-01215-6
pmc: PMC7298953
doi:

Substances chimiques

Antitubercular Agents 0

Types de publication

Case Reports Journal Article Review

Langues

eng

Sous-ensembles de citation

IM

Pagination

173

Références

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BMJ Case Rep. 2018 Jun 6;2018:
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pubmed: 30631628
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pubmed: 27621353
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pubmed: 12836625
Pediatr Rep. 2011 Jun 16;3(2):e16
pubmed: 21772953
Paediatr Int Child Health. 2013 Aug;33(3):187-9
pubmed: 23930733
Am J Trop Med Hyg. 2012 Jul;87(1):162-4
pubmed: 22764308

Auteurs

Maria Sanchez-Codez (M)

Puerta del Mar University Hospital, Cadiz, Spain.

W Garret Hunt (WG)

Division of Pediatric Infectious Diseases, Nationwide Children's Hospital, Columbus, OH, USA.

Joshua Watson (J)

Division of Pediatric Infectious Diseases, Nationwide Children's Hospital, Columbus, OH, USA.

Asuncion Mejias (A)

Division of Pediatric Infectious Diseases, Nationwide Children's Hospital, Columbus, OH, USA. Asuncion.Mejias@nationwidechildrens.org.
Center for Vaccines and Immunity, Abigail Wexner Research Institute at Nationwide Children's Hospital and The Ohio State University, Columbus, OH, USA. Asuncion.Mejias@nationwidechildrens.org.

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Classifications MeSH