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the characteristic of group with for the first time taped clinical forms of a tuberculosis.

In group of children with local forms of a tuberculosis following forms of a tuberculosis are diagnosed: a tuberculosis of intrathoracic lymph nodes - 50 (50 %), a primary tubercular complex 2 (2 %) a case; a focal tuberculosis 15 (15 %), infiltrativnyj a tuberculosis 22 (22 %), an exudative pleuritis of a tubercular aetiology 6 (6 %), vnelegochnyj a tuberculosis 5 (5 %).

Among forms vnelegochnogo a tuberculosis 2 cases of a tuberculosis of peripheric lymph nodes, 3 cases of a tuberculosis of bones (tab. 2).

Table 2

Clinical forms of a tuberculosis

The form Quantity %
TVGLU 50 50
Primary tubercular complex 2 2
Exudative pleuritis 6 6
Infiltrativnyj a pulmonary tuberculosis 22 22
Focal pulmonary tuberculosis 15 15
Vnelegochnyj a tuberculosis 5 5
In total 100 100

From the presented data it is visible, that 50 % (50) children had a tuberculosis of intrathoracic lymph nodes that has made half of all cases.

Among other forms of a tuberculosis (50 cases), infiltrativnyj the pulmonary tuberculosis was at 22 (44 %) children, a primary tubercular complex at 2 (4 %),
The focal tuberculosis at 15 (30 %), a tubercular pleuritis at 6 (12 %) patients, vnelegochnyj a tuberculosis was in 5 (10 %) cases.

The characteristic of children with local forms of a tuberculosis on a floor and age (tab. 3) is studied.

Table 3

The characteristic of children of 1 group on a floor and age

Age Girls abs. (%) Boys abs. (%) In total abs. (%)
Till 1 year 0 (0 %) 3 (3 %) 3 (3 %)
1 - 3 years 11 (11 %) 11 (11 %) 22 (22 %)
4 - 7 years 9 (9 %) 17 (17 %) 26 (26 %)
8 - 14 years 12 (12 %) 7 (7 %) 19 (19 %)
15 - 18 years 17 (17 %) 13 (13 %) 30 (30 %)
In total 49 (49 %) 51 (51 %) 100 (100 %)

Aged till 1 year of girls was not, boys there were 3 % (3). The parity of girls and boys among group of children 1 - was 3 years fifty-fifty on 11 %; at the age of 4 - 7 years were more boys almost twice: 17 % of boys of girls (17) and 9 % (9); at the age of 8 - 14 years are more than girls: 12 % of girls and 7 % of boys; at the age of 15 - 18 years are a little bit more than girls (17) in comparison with boys (13) (tab.

3).

Disease was equally often taped at boys and girls, with small prevalence at boys, is the most frequent at the age of 4 - 7 years (26 %) and at the age of 15 - 18 years (30 %).

38

Table 4

The taped risk factors of disease by a tuberculosis of children depending on a floor and age

Age 15 years (30 foreheads) Total

100 foreheads

M

(3 foreheads)

D M

(11 foreheads)

D

(11 foreheads)

M

(17 foreheads)

D

(9 foreheads)

M

(7 foreheads)

D (12 foreheads) M

(13 foreheads)

D (17 foreheads)
Factors

Risk

abs % abs % abs % abs % abs % abs % abs % abs % abs % abs % abs %
Tubas.

Contact

2 66,7 8 36,4 10 45,5 5 19,2 4 15,4 5 26,3 4 21,1 6 20 1 3,3 45 45
neeff.

BTSZH

1 4,5 2 9,1 3 11,5 6 23,1 2 10,5 4 21,1 2 6,7 6 20 26 26
Is not present BTSZH 3 100 6 27,3 4 18,2 4 15,4 1 3,8 1 5,3 2 6,7 21 21

At all children with local forms of a tuberculosis presence of bacterination BCG and its efficiency have been studied. Vaccinated BCG children there were 79 % (79 persons). From them, at 32,9 % of patients (26 persons) noneffective bacterination (weakly expressed scar, a negative Mantoux reaction with 2 THOSE in 1 year) became perceptible. Have Not been vaccinated BCG 21 % (21 child). Thus at the majority of them - 57,1 % (12 children) absence of bacterination BCG has been bound to presence of a HIV of an infection at mother, in other cases (42,9 % (9 persons)) the reason to find out were not possible. At studying of the epidemiological anamnesis contact with sick of a tuberculosis at 45 % (45) patients (tab. 4) is come into.

At studying of a way of diagnostics of a tubercular infection it was found out, that at 83 children (83 %) disease is taped at routine inspections: during a mass tuberculinodiagnosis infectious character tuberkulinovyh assays at 51 children has been taped, at fluorographic inspection at 25 teenagers and at inspection of contact persons from the tuberculosis centre - 7 children. At the reference with complaints from the general medical network 17 % (17) children are taped. In out-patient departments and somatic hospitals children addressed with signs of nonspecific inflammatory diseases (a bronchitis, a pneumonia, a pleuritis and others). Term from the moment of the reference before revealing of a tubercular infection made from 5 till 30 days.

At studying of the somatic status it has been taped, that 76 children (76 %) had an accompanying pathology. Most often there were children an anaemia of various severity level - 30,3 % (23 persons); consisted on the dispensary account apropos perinatalnoj pathologies TSNS of 18,4 % (14 persons), had perinatalnyj contact on a HIV-infection of 10,5 % (8 persons); were observed with diagnoses an adenoid disease of 9,2 % (7 children), recurring

Obstructive bronchitis of 7,9 % (6 children); with a dyskinesia zhelchevyvodjashchih ways (DZHVP) 5,3 % (4 patients); were as much observed concerning an infection
Urinary ways and with a HIV-infection (on 4 persons); with a diabetes - 2,6 % (2 children), with a bronchial asthma - 1,3 % (1 person). Among other accompanying pathology met an epilepsy - 2,6 % (2 patients); a psychogenic polydipsia - 1,3 % (1 person).

Implications of a tuberculosis at all patients at the moment of the reference and inspection (tab. 5) are studied.

In the given group of children complaints to lability of mood - 35 (35 %) is more often became perceptible; a night sweating - 22 (22 %); weight reduction - 19 (19 %); tussis - 12 (12 %), (thus at 10 (10 %) children was dry tussis without an expectoration (p

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Scientific source Ahmerova Tatyana Efimovna. IMMUNODIAGNOSIS OF DIFFERENT MANIFESTATIONS OF TUBERCULOSIS INFECTION IN CHILDREN. Thesis for the degree of candidate of medical sciences. SAMARA - 2014. 2014

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Other medical related information the characteristic of group with for the first time taped clinical forms of a tuberculosis.:

  1. THE TABLE OF CONTENTS
  2. INTRODUCTION
  3. Diaskintestj in diagnostics of a tubercular infection
  4. the characteristic of group with for the first time taped clinical forms of a tuberculosis.
  5. THE CONCLUSION
  6. clinical aspects of a tuberculosis, sochetannogo with a HIV-infection
  7. features of a current of a tuberculosis, sochetannogo from a HIV - an infection, at early and late stages of a HIV-infection
  8. clinical implications of a HIV-infection