[Aspects of infantile tuberculosis]

Tuberculosis is a public health problem in Morocco, this article will examine the different aspects of tuberculosis in the youth population within the range of 0 to 15 years old spread over the period when incidence was at 110 cases for 100 000 habitants

Patients and Methods: 465 tuberculous cases were gathered from 1984 to 1988 in the infectious disease department, child hospital, Rabat; Tuberculous diagnosis was based on 2 criteria: Certainty elements such as the KB presence, specific tuberculous histological lesions, 2. On the basis of strong suppositions no vaccination, recent military TB or mediastinal lymphadenopathy, lungs lesions not improved by antibiotic treatments for a patient who has a strong exposure to contacts infected by the KB

Resultats: 70% of the paients are too low in calories and 22% of those are malnourished. The contagion is likely to be present in 60% cases. The lung is the most trageted localisation and the primo-infection is likely to be present in 231 cases. Tuberculous lymphadenopathy is the frequent with extrapulmonary tuberculosis. positive KB in 40% of cases. 28 patients died [6%], among those the meninginal TB is the cause of death in 50% cases

Conclusion:Tubercolosis is wide spread and serious infection specially in children. From a public health standpoint regarding the prevention, many measures can place take like improving of socio-economic level, screening and treating infected people [positive TB] and BCG vaccination

Traitement de la primo-infection tuberculeuse de l'enfant: place du traitement court

The authors present a restatement of the therapeutical managernent of primary tuberculosis in child. The short treatment is ideal, it lastes 6 months and is based on Combination of 3 drugs: Rifampicin, Isoniazide and pyrazinamid which must be used only on 2 months period. As for congenital tuberculosis, this paper suggests an attitude in accordance to the maternal tuberculosis

tuberculose pleuropulmonaire de l'enfant en milieu hospitalier [a propos de 230 cas en 3 ans]

In a child, pulmonary tuberculosis dominates from afar other parts of this infection [230 over 332 cases of child tuberculosis in three years time. It is difficult to diagnose for a child. It rests mostly on the elements of presumtion. Its existence is built on the idea a specialist may have. Tuberculosis is contageous beyond the possibility of precenting by the BCG method. Clinical diagnosis is general, and signs of tuberculosis test are enough to perhaps consider the child as a certain suspect. When in the isolation of the B.K. [a sign of certitude] is seems contrary to an adults' rarely positive. The number of deaths caused by tuberculosis remains high in spite of the efforts used against it [1/5 th]. The deaths' reasons lie to a certain extent in the hands of tuberculosis and the associated pathology