Source: Annual Congress 2003 - Clinical features in tuberculosis - I
Disease area: Paediatric lung diseases, Respiratory infections

Abstract

The aim of the research was to investigate the frequency and causes of the divergence between the clinical and patomorphological diagnosis of tuberculosis (TB) for children under 7 years old. 339 protocols of autopcy have been analised. There are 100 children under one year old, 149 - from 1 to 3, 90 - from 3 to 7. TB was first revealed in autopsy in 45 (13,3 %) children (under one year old - 23,0 %, from 1 to 3 - 12,1 %, from 3 to 7 - 4,4 %). From 287 children with pulmonary TB for 59 (20,6 %) children the TB was revealed in the autopsy (under one year old - 14,7 %, from 1 to 3 - 19,4 %, from 3 to 7 - 27,7 % ).The nonspecific pneumonia was diagnosed erroneously for 13 (4,5 %) children moreover the frequency of mistakes in the age groups was equally (under one year old - 4,0 % , from 1 to 3 - 4,7 %, from 3 to 7 - 4,8 %). The most often 22.7 % diagnosis didn’t coincided for children under one years old and from 1 to 3 - 32.6 %, in children from 3 to 7 - only 8,4 %. 322 (95,0 %) children died in non tuberculosis hospitals. The death was during one day for 7,4 % children, during next two days for 16,1 % and 19,6 % - after one month in hospital. Conclusion.TB was diagnosed in autopsy for 13,3 % cases. The causes of diagnosis mistakes: hord state of health becouse of the late hospitalization and insufficient to qualification of pediatrist.

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Citations should be made in the following way:
V. M. Melnyk, L. I. Mykolychyn (Kyev, Ukraine). The mistakes in the diagnosis of the tuberculosis for children under 7 years old. Eur Respir J 2003; 22: Suppl. 45, 1006

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