Pleural tuberculosis: experiences from two centers in Brazil
J. pediatr. (Rio J.)
; 98(6): 621-625, Nov.-Dec. 2022. tab
Article
in En
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LILACS-Express
| LILACS
| ID: biblio-1422007
Responsible library:
BR1.1
ABSTRACT
Abstract Objective:
This study aimed to describe the clinical and laboratory findings of patients diagnosed with pleural tuberculosis at two hospitals in southern Brazil.Methods:
Patients aged < 18 years were evaluated retrospectively. The patients' medical and epidemiological history, tuberculin skin test results, radiological and pathological findings, and pleural fluid analysis results were retrieved.Results:
Ninety-two patients with pleural tuberculosis were identified. The mean age was 10.9 years old. Twenty-one percent were children aged six years or less. The most common symptoms were fever (88%), cough (72%), and chest pain (70%). Unilateral pleural effusion was observed in 96% of the cases. Lymphocyte predominance was found in 90% of the pleural fluid samples. The adenosine deaminase activity of the pleural fluid was greater than 40 U/L in 85% of patients. A diagnosis of community-acquired pneumonia with antibiotic prescriptions was observed in 76% of the study population.Conclusions:
Tuberculosis etiology must be considered in unilateral pleural effusion in a child with contact with a case of tuberculosis. Pleural fluid biomarkers contribute to the diagnosis of pleural tuberculosis in children and adolescents.
Full text:
1
Index:
LILACS
Type of study:
Prognostic_studies
Country/Region as subject:
America do sul
/
Brasil
Language:
En
Journal:
J. pediatr. (Rio J.)
Journal subject:
PEDIATRIA
Year:
2022
Type:
Article