Disseminated tuberculosis of the lungs in children
Mitinskaia, L.A.; Iavorskiĭ, K.M.
Problemy Tuberkuleza 4: 32-34
1991
ISSN/ISBN: 0032-9533 PMID: 1852738 Document Number: 376734
The infiltration phase of disseminated pulmonary tuberculosis has recently become a severe form of tuberculosis in children. It is accompanied by bacillary excretion (61.3%), lung tissue destruction (29.1%) and process generalization with extrapulmonary localization. Its course is most severe in the phase of destruction and has fatal outcome in 26.4% of cases which is mainly encountered in children of the early and pubertal age. The differential diagnosis of disseminated pulmonary tuberculosis in children with dissemination of non-tuberculous etiology is of importance considering a high percentage of diagnostic errors. Timely diagnosis of the destruction phase of disseminated pulmonary tuberculosis requires tuberculin diagnosis with Mantoux test with 2 TU PPD-L and bacteriological examination of all children with diffuse lung lesions staying in children's somatic hospitals.