Abstract

ZOMBINI, Edson Vanderlei et al. Clinical epidemiological profile of tuberculosis in childhood and adolescence. Rev. bras. crescimento desenvolv. hum. [online]. 2013, vol.23, n.1, pp.52-57. ISSN 0104-1282.

The presence of tuberculosis in childhood is a good indicator of the extent of the disease bacilífera and inefficiency of control of the tort in the adult population. In order to describe the clinical and epidemiological profile of cases of children and adolescents which evolved clinically with tuberculosis. Was held a retrospective study of survey data from patient records involving all patients with the diagnosis of tuberculosis assisted on inpatient and outpatient de pneumologia of a children's Hospital public in the city of São Paulo from 2005 to 2010. 45 cases of tuberculosis were diagnosed, most aged under 4 years of age and adolescents, all vaccinated with BCG ID. The most common clinical form was followed by pulmonary and pleural meningeal. Of cases handled, 98% spontaneously to diagnostic research hospital. Cough and fever symptoms were reported. Of the cases raised, 18 (40%) had contacts with intradomiciliares of adults with pulmonary tuberculosis. The radiological characteristics were found more opacity and the pleural effusion. Of the cases investigated 32.5 % presented positivity for identification of Mycobacteria. Most patients was strong proof reactors tuberculínica. Tuberculosis in childhood is a neglected aspect, for the most part, in the evaluation of adult communicating with pulmonary tuberculosis bacilífera. Often children are assisted when disease symptoms are already installed. Interconnecting control is a way early and efficiently diagnose and treat children with tuberculosis, reducing suffering and reducing the chance of an outbreak of severe forms of the disease.

Keywords : tuberculosis; epidemiology; child; adolescent; clinical profile.

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