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PubMed1994

[Tuberculosis in children].

In developed countries like France, the incidence of tuberculosis is low, 5 to 6% in patients under 15 years of age. At the present time, tuberculosis has been irradicated in 11 French regions. Inversely, tuberculosis is still found in the Paris area. Half of the children with tuberculosis are under 5 years of age, underscoring the high risk at this age. Lung and lymph node infection is most often encountered in children with typical complications of endobronchial fistulization and segmentary or lobular atelectasy. Direct examination does not reveal germs in more than 80% of the cases. Other forms are more rarely found in children although congenital, meningeal, serofibrinous pleural, and cervical lymph node tuberculosis are sometimes observed. Latent primary infection, by far the most frequent, can only be recognized by the intradferal tuberculin test. Systematic treatment modalities would now center on the use of combined chemotherapy using two bacteriocidal antibiotics for 2 or 3 years.

Age Factors↗
PubMed2004

[Extrapulmonary tuberculosis: case of a 70-year-old woman suffering from cutaneous lymph node, renal and bone tuberculosis ].

We have described a case of a 70-year-old woman, treated for a pancreas cancer, which was diagnosed for many months because of atypical skin lesions, lymphadenopathy and progressing cachexia. Despite many autoimmunological, serological, histopathological, bacteriological and mycological examinations there was no diagnosis. Finally the case of extrapulmonary tuberculosis involving skin, lymph nodes, kidneys and bones was diagnosed. After the introduction of antituberculotic therapy we are observing some clinical improvement and regression of symptoms.

Aged↗
PubMed1987

[Diagnostic problems of extrapulmonary tuberculosis in a surgical infected patient sample].

Reported in this paper are 20 cases of extrapulmonary tuberculosis, following septic surgery, between 1983 and 1987. It seems to be as important as ever before to consider tuberculosis for differential diagnosis of abscesses and fistulae. Treatment was rendered to patients with osteoarticular, renal, and lymph node tuberculosis forms. Tuberculosis should be considered as a possibility particularly in the context of periarticular accumulation of pus and therapy-resistant fistulae. The use of pus cultures from tuberculotic abscesses is considered to be a promising approach to bacteriological verification. However, in cases of poly-infected fistulae, bacteriological verification was obtainable solely from animal experiments.

Abscess↗