Información adicional

• Num_publicacion 76(11-12)
• Resumen_ingles
  Introduction: The presence of intrathoracic lymph nodes is the characteristic pattern of pediatric tuberculosis but can be interpreted as infection or tuberculosis disease with different therapeutic approaches. The aim of this study was to determine if patients with isolated intrathoracic lymph nodes had clinical, diagnostic and microbiological features compared with patients diagnosed with other forms of tuberculosis disease.
  Material and methods: All patients younger than 14 years of age diagnosed with tuberculosis in Cantabria between 2005 and 2014 were included in the study. They were classified into two groups: patients with exclusively intrathoracic adenopathies and those with other forms of tuberculosis. Clinical symptoms, erythrocyte sedimentation rate, tuberculin skin test (TST) results and microbiological isolation between the two groups were compared.
  Results: A total of 81 patients were diagnosed with tuberculosis, 38.3% had nodal tuberculosis and the rest other forms of tuberculosis. The mean age at diagnosis was 70.46 ± 43.6 months. Patients with nodal tuberculosis were more frequently asymptomatic and had significantly higher TST induration diameters. Microbiological isolation was achieved in 25.9% of the patients and no significant differences in microbiological isolation between the two groups were observed (35.5 vs. 16.13%; p= 0.074). No Mycobacterium tuberculosis was isolated in any patient with lymphadenopathies detected by computed tomography.
  Discussion: The microbiological isolation is the gold standard of tuberculosis disease. Isolation of M. tuberculosis was not significantly superior in the group of patients with exclusive lymph node tuberculosis suggesting that lymph node tuberculosis should be considered a true tuberculosis disease.
   
• Palabras_clave_ingles Nodal tuberculosis Culture Lymphadenopathy Computed tomography Mediastinal ultrasound
• Todos_autores C. Álvarez Álvarez, M.J. Cabero Pérez, M. Otero Fernández, L. Guerra Díez, D. San Segundo Arribas
• autores listados C. Álvarez Álvarez, M.J. Cabero Pérez, M. Otero Fernández, L. Guerra Díez, D. San Segundo Arribas
• Correspondecia
  C. Álvarez Álvarez. Hospital Universitario Marqués de Valdecilla. Avda. Valdecilla, 25. 39008 Santander.
  Correo electrónico: crisalvarezbis@yahoo.es
• Titulo_ingles Is lymph node tuberculosis a true tuberculosis disease?
• Centros_trabajo Departamento de Pediatría. Departamento de Radiología Pediátrica. Departamento de Inmunología. Hospital Universitario Marqués de Valdecilla. Santander
• Publicado en Acta Pediatr Esp. 2018; 76(11-12): 142-144
• copyright ©2018 Ediciones Mayo, S.A.
• Fecha recepcion 26/08/17
• Fecha aceptacion 19/10/17
• Tipo de Artículo Clínico (Microdatos) Observational Study