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Pleural tuberculosis: experiences from two centers in Brazil
Lunelli, Magda; Ferreira, Isabel Cristina Schütz; Sarmento, Muriel Bossle; Chakr, Valentina Coutinho Baldoto Gava; Fischer, Gilberto Bueno.
  • Lunelli, Magda; Universidade Federal do Rio Grande do Sul. Programa de Pós Graduação em Ciências Pneumológicas. Porto Alegre. BR
  • Ferreira, Isabel Cristina Schütz; Pontifícia Universidade Católica do Rio Grande do Sul. Programa de Pós Graduação em Pediatria e Saúde da Criança. Porto Alegre. BR
  • Sarmento, Muriel Bossle; Hospital de Clínicas de Porto Alegre. Porto Alegre. BR
  • Chakr, Valentina Coutinho Baldoto Gava; Hospital de Clínicas de Porto Alegre. Porto Alegre. BR
  • Fischer, Gilberto Bueno; Universidade Federal do Rio Grande do Sul. Programa de Pós Graduação em Ciências Pneumológicas. Porto Alegre. BR
J. pediatr. (Rio J.) ; 98(6): 621-625, Nov.-Dec. 2022. tab
Article in English | LILACS-Express | LILACS | ID: biblio-1422007
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: Available Index: LILACS (Americas) Type of study: Prognostic study Country/Region as subject: South America / Brazil Language: English Journal: J. pediatr. (Rio J.) Journal subject: Pediatrics Year: 2022 Type: Article Affiliation country: Brazil Institution/Affiliation country: Hospital de Clínicas de Porto Alegre/BR / Pontifícia Universidade Católica do Rio Grande do Sul/BR / Universidade Federal do Rio Grande do Sul/BR

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Full text: Available Index: LILACS (Americas) Type of study: Prognostic study Country/Region as subject: South America / Brazil Language: English Journal: J. pediatr. (Rio J.) Journal subject: Pediatrics Year: 2022 Type: Article Affiliation country: Brazil Institution/Affiliation country: Hospital de Clínicas de Porto Alegre/BR / Pontifícia Universidade Católica do Rio Grande do Sul/BR / Universidade Federal do Rio Grande do Sul/BR