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PubMed1963

SCROFULA.

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Child↗
PubMed1990

[Studies on the changes in clinical features of tuberculosis].

The epidemiological and clinical features of tuberculosis have largely changed in recent years owing to rapid improvement of social environments and therapeutics. For the determination of these changes, especially clinical ones, the author made comparative studies on all patients hospitalized in National Sanatorium Higashi Saitama Hospital during the periods from 1964 to 1966 and from 1985 to 1988. The 1964-66 group included 400 patients and the 1985-88 group included 508, making a total of 908. The results are as follows: 1. Primary treatment cases with positive bacteriology, atypical mycobacteriosis cases and those with complications increased in number, while re-treatment cases decreased. 2. Comparison was made for bacteriologically positive primary treatment cases between the two groups, namely 112 patients of 1964-66 group and 213 patients of 1985-88 group. The results were: (1) 1985-88 group included larger number of more aged patients and patients with complications. (2) The two groups showed no marked differences in radiological findings such as the size of affected areas or cavities and the rate of cavitation. The patients with radiologically fibrocaseous findings increased in number. (3) The incidence of lower lung field tuberculosis was almost doubled in the 1985-88 group, and this type of tuberculosis was more frequently observed among patients below 29 and over 70 years of age and among those complicated with diabetes mellitus. In chest CT, eight out of 10 patients with lower lung field tuberculosis showed some changes in their mediastinum and/or hilar lymph nodes. This may suggest that the primary mediastinum and/or hilar lymph nodes tuberculosis had perforated into the trachea or bronchi. (4) Although the two groups did not show difference in mortality, deaths due to complications were observed more in the 1985-88 group. However, 4 patients in this group died of tuberculosis itself, all within about 40 days after hospitalization.

Adolescent↗
PubMed1997

[Impact of family contact on development of tuberculosis in infants and preschool children].

The paper outlines the results of following up 50 infants and preschool children who had contacts on their families. The major sources of infection were equally both their mother and their father. The children were found to have pronounced active processes. The most severe types of tuberculosis were common in infants in whom general, military tuberculosis and tuberculous meningitis along with complicated types in intrathoracic lymph node tuberculosis were detected. There was more commonly a phase of dissemination and decay in infants. Severe types of tuberculosis were encountered in the families having a combination of many unfavourable factors, both medical and social ones. Among the children who had fallen ill, 32% were detected on their visits to polyclinics of upon admissions to general hospitals.

Adult↗