Treatment of latent tuberculous infection in children and adolescent / 소아과

Tuberculosis continues to cause an unacceptably high toll of disease and death among children worldwide. Whereas intense scientific and clinical research efforts into novel diagnostic, therapeutic, and preventive interventions have focused on tuberculosis in adults, childhood tuberculosis has been relatively neglected. However, children are particularly vulnerable to severe disease and death following infection, and those with latent infection become the reservoir for future transmission following disease reactivation in adulthood, fuelling future epidemics. Therefore, it is very important to understand the significance, diagnosis and treatment of latent tuberculous infection to decrease a future disease burden of tuberculosis. Unfortunately, these concept still have not fully implicated in Korean National Tuberculosis Control Program, it should be engaged and enforced as soon as possible.

Treatment of latent tuberculous infection in children and adolescent / 소아과

Tuberculosis continues to cause an unacceptably high toll of disease and death among children worldwide. Whereas intense scientific and clinical research efforts into novel diagnostic, therapeutic, and preventive interventions have focused on tuberculosis in adults, childhood tuberculosis has been relatively neglected. However, children are particularly vulnerable to severe disease and death following infection, and those with latent infection become the reservoir for future transmission following disease reactivation in adulthood, fuelling future epidemics. Therefore, it is very important to understand the significance, diagnosis and treatment of latent tuberculous infection to decrease a future disease burden of tuberculosis. Unfortunately, these concept still have not fully implicated in Korean National Tuberculosis Control Program, it should be engaged and enforced as soon as possible.

Detection of Tubercle Bacilli in Urine and in Removed Kidney Lesion in Renal Tuberculosis / 대한비뇨기과학회지

Fifty-four cases of renal tuberculosis who had anti-tuberculous treatment were studied for effect of anti-tuberculous agents on tubercle bacilli in urine and in kidney lesion. Urinary examinations were performed for tubercle bacilli every week by means of smear and culture and caseous substance from the cavity of kidney lesion was also smeared for the bacilli. The patients were divided into five groups as follows Group 1: Treated with anti-tuberculous agents for less than one month, 26 cases.Group 2: Treated with anti-tuberculous agents for one to three months, 15 cases.Group 3: Treated with the agents for three to six months, 6 cases.Group 4: Treated with the agents for six to twelve months, 5 cases.Group 5: Treated with the agents for longer than twelve months, 2 cases.Thirty-four instances (62.9%) of 51 cases revealed positive tubercle bacilli in urine and in the kidney lesion and 13 instances(24.0%) revealed negative bacilli in urine but positive in the kidney lesion while 6 instances(11.1%) revealed negative both in the urine and in the kidney lesion. Three instances of 7 cases treated for longer than six months showed positive smear for the bacilli in the kidney lesion.

Influences of Anti-tuberculous Agents and Cortisone on Renal Tuberculosis Induced in Rabbit / 대한비뇨기과학회지

Effect of cortisone on renal tuberculosis induced experimentally in rabbit and influence of the hormone on the effect of anti-tuberculous agents have been studied. Tubercle bacilli, bovine 123 strain. was inoculated into the rabbit kidneys to induce renal tuberculosis. In one group (A) bacilli were inoculated into the left kidney and into the both kidneys in another group (B). Treatments were started on the 10th post-inoculation day in the former group and on the 50th day in the latter group. Rabbits were divided into four experimental groupsas follows and treatments were continued for one month. After one week of observation animals were sacrificed and kidneys. lunge, livers, spleens and lymphnodes were studied on their tuberculous changes.1. Control. no treatment.2. Injection with cortisone acetate 10mg3. Injection with streptomycin 100mg. and INAH 23.6 mg.4. Injection with streptomycin 100mg. INAH 23.6 mg. and cortisone acetate 10mg.The animals were weighed and tubercle bacilli in the urine were studied every week during the experiment. The following results were obtained: 1) Body weight. Comparing with the control, animals receiving cortisone revealed marked decrease in body weight, while animals receiving anti-tuberculous agents increased their body weights. The animals receiving both cortisone and anti-tuberculous agents showed a decrease in body weight. 2) Urinary tubercle bacilli. After 4 weeks of inoculation, the bacilli were positive in urine. The control and the cortisone receiving animals in both groups A and B manifestated positive bacilli in urine and animals in group A receiving anti-tuberculous agents and both cortisone plus anti-tuberculous agents showed no bacilli in urine. In group B, bacilli were positive in animals receiving anti-tuberculous agents or both cortisone plus anti-tuberculous agents after 30 days of treatment. 3) Tuberculin test. Tuberculin test was weakened or negative after administering cortisone in tuberculous animals 4) Pathological histology. In group A, there was no significant changes between the control and the animals with cortisone. All showed wide-spread tuberculous lesions. Very slight changes were observed in animals receiving anti-tuberculous agents or both anti-tuberculous agents and cortisone, and the lesion showed improvement. Microscopically, animals receiving both anti-tuberculous agents and cortisone revealed cloudy swelling and simple necrosis throughout but no cellular infiltration in the kidney tissue. The affect of treatment was more apparent than in the animals receiving only anti-tuberculous agents. In the group B, lesions in the animals receiving cortisone was more marked than in the control animals. Macroscopically, no significant changes were observed both in the animals receiving cortisone and anti-tuberculous agents, and ones receiving only anti-tuberculous agents. However, microscopically, the former animals showed less fibrosis and calcification than the latters. Dissemination of tuberculous lesion to other organs was not influenced by administration of cortisone but prohibited by anti-tuberculous agents.