Most authorities including WHO recommended immununizing infants with BCG as early as possible in areas prevalent with tuberculosis, however the optimal time for immunization has not well been characterized. Therefore the investigation was undertaken by vaccinating various infant groups of different ages with BCG and subsequently evaluating for adverse effects and tuberculin reactions, in order to contribute to undestanding the... |
Mycobacteria cause diseases which occur the world over and whoich carry a considerable burden in morbidity, mortality and social problems. A battery of monoclonal antibodies specific for mycobacterial antigens would provide a useful tool for rapid diagnosis of mycobacterial diseases. Fourtenn monoclonal antibodies to perchloric acid soluble antigne of M. tuberculosis were produced. Immunoglobulin isotypes of monoclonal antibodies were ten... |
The immune response to M. tuberculosis engages T-cell medicated reactions which determine the degree of resistance and also the clinical pattern of disease. Although antibodies produced by the infected host have yet no proven protection, they are appilicable for alternative diagnostic tests in tuberculosis. Preparation of purified antigens from Mycobacteria with specific antigenic determinants would improve serological diagnosis in tuberculosis. The... |
We experienced a case of endobronchial tuberculosis accompanied with obstructive emphsema which appears just before total atelectasis, in a 4/12 year old male who was admitted to the department of pediatrics, Yonsei university College of Medicine. On chest X-ray, left side total emphysema was found and on bronchogram, punched out defect was noted at the site of the left main... |
The definite diagnosis and precise assessment of response to therapy is still a problem in childhood tuberculosis because these patients rarely produce sputum and if obtained it may be negative. For this reason, diagnosis rely largely on the clinical and X-ray examination, which have a low specificity and high proportion of false positive results. Recently immunologic diagnosis of tuberculosis using enzyme-linked immunosorbent assay (ELISA) was... |
Authors recently experienced a case of acute interstitial nephritis associated with Yersinia pseudotuberculosis infection in 10-8/12 year old boy, who was admitted to prolonged high fever. On 3rd hospital day, puffy face and oliguria were noted. BUN and serum creatinine rose to peak level, 94.1 mg/dl and 10.1 mg/dl, respectively on 7th hospital day. After then renal functions were normal- ized gradually without specific... |
Yersinia pseudotuberculosis infection is one of the common causes of erythema nodosum in Europe, but in Korea only 2 cases have been reported. Recently authors experienced a 6 year old boy who suffered from erythematous painful skin lesions on the shin and calf, and was diagnosed serologically as erythema nodosum due to Yersinia pseudotuberculosis infection. So we report here the clinical findings of this... |
We experienced a case of endobronchial tuberculosis accompanied by an embedded lymph node in a 1 3/12-year old male who was admitted to the Department of Pediatrics, Yonsei University College of Medicine. On bronchogram, a punched out defect was noted at the site of the right main bronchus from where the right upper lobe bronchus and right intermediate bronchus branched. Although bronchoscopy was performed three... |
We experienced one outbreak of Yersinia pseudtuberculosis infection that had not been reported in our country. In May, 1988, an outbreak of acute infection with symptoms suggestive of Yersinia pseudotuber- culosis infection occurred among a middle school students in No-Won-Gu, Seoul. Two hundreds and fifteen students went on a picnic at the Mt. Surak in No-Won-Gu on 13th May, 1988. Fifty of 95 students who... |
following results were obtained through the clinical review of 29 cases with the abdominal tuberculosis under the age of 15 years, who admitted to Seoul National University Hospital from January, 1977 to December, 1987. 1) Thirteen cases were patients with tuberculous peritonitis, 12 cases were patients with intestinal tuberculosis, and the remaining 4 cases were patients with both tuberculous peritonitis and intestinal tuberculosis. 2) The male to... |
Since the advent of effective antituberculous chomtherapy in the 1940s, the frequency and severity of intestinal tuberculosis have markedly decreased. But the incidence of tuberculous disease is still high in Korea. We have recently experienced a cases of intestinal tuberculosis with huge retroperitoneal tuberculous lymphadenitis simulating neoplasm in 2 year 3 month old female. The cases was reported with the brief review of literatures. |
Unlike hematogenous spread in miliary tuberculosis, disseminated pulmonary tuberculosis is considered to be spread by non-hematogenous transbronchial with characteristic chest X-ray appear- ance. This type of spread is unusal in childhood pulmonary tuberculosis. We are reporting 4 such cases from 1984 to 1986 with chest X-ray findings. In city hospital where most patients come from low-income families, we see significant number of children with various types... |
This is a case of cryptococcosis accompanied by pulmonary tuberculosis and malnutrition. The 11-year-old female patient was admitted to our hospital because of dyspnea, ascites and oliguria. Cervical lymph node biopsy and chest X-ray were checked, which were revealed tuberculous lesions. She was treated with amphotericin-B for 10 weeks, but didn*t complete remission at present. |
A clinical review was made on 202 cases of tuberculosis who had been admitted at Pediatric department, National Medical Center during the period of 5 years and 6 months from January, 1979 to June 1984. The following results were obtained: 1)Annual incidence seemed to be slightly increased during this period. 2)The highest age incidence was in the group of 1 to... |
Kidney tuberculosis is serious complication during childhood just as later life because the disease tends to invade and to destroy both kidney. We reported three cases of renal tuberculosis in 8-yr-old female, 10-yr-old female and 6- yr-old male child. Case 1 and 3 had complaints of continuous fever and poor appetite and case 2 had complaints of dysuria and urinary... |
We experienced a case of congenital tuberculosis in a 10-month-old female patient who had disseminated tuberculosis. She was the 1st born of 30-year-old woman who was diagnosed as tuberculous pleurisy on the 12 th day after delivery. Congenital tuberculosis was suspected because of detection of AFB in gastric aspirates on the 60 days of life. But the treatment was discontinued after... |
Clinical and epidemiological studies were conducted on 113 cases of miliary tuberculosis under the age of 15 years who were admitted to the Pediatric Department of Keimyung University Hospital for the past 15 years from January 1967 to December 1981. The results were as follows: There was no significant change in annual incidence. The majority of the patients(88%) were under... |
We reported a case of renal tuberculosis in a 10-yr-old male child. He had complaints of dysuria and urinary frequency which were not improved through anappropriate antibiotics medication for 6 months. The diagnosis was confirmed by Ziehl-Neelson staining of urinary sedimentwas, I.V.P. and cystoscopy. A brief review of literatures was presented. |
The following results were obtained through the clinical review of 24 cases with the intes- tinal tuberculosis under the age of 15 years which were treated at Seoul National University hospital and Kangnam General Hospital Public Corporation during the period of 6 years from January, 1977 to December, 1982. 1) The peak incidence was noted in the group aged 12 〜 15 years. The ratio... |
We studied retrospectively the charts of 1,162 in-patients (that is 1,349 lesions) under 20 years of age who were hospitalized with various tuberculosis in Hanyang University Hospital from May 1972 to December 198L The results of the observation are as follows: 1. Annual distribution of 1,162 patients with tuberculosis revealed little fluctuation over the years. 2. The age and sex distribution of tuberculosis is as follows: The... |
.The following results were obtained through the clinical review of 153 cases of bone and joint tuberculosis which were treated at Mokpo Children’s T.B. Hospital during the period of 10 years from Jaunary 1971 till December 1980. 1. The bone and joint tuberculosis was 10.3% of total tuberculous children during the above period. 2. The peak incidence was noted in the group aged 1 〜3 years and... |
The following result were obtained through the clinical review of 78 cases with severe tuberculosis under the age of 5 years admitted at Department of Pediatrics, busan National University Hospital during the period of january, 1974 through December, 1980. 1) Incidence of severe tuberculosis in infancy and early chilhood is noticed as 49.3% in tuberculous menigitis, 16.0% in miliary tuberculosis... |
A Case of disseminated cryptococcosis in a 5-year old girl is reported. Although twenty four pediatric cases of cryptococcosis were reported in Korea for the past 15years, this case's clinical picture is interesting and make diagnostic difficulties from miliary tuberculosis. She was transferred from a local clinic under the impression of miliary tuberculosis with chest X-ray showing miliary shadows. Mantoux... |
A Clinical study was made of 88 pediatric patients with miliary tuberculosis, who were admitted to the Pediatric Department of Kwangju Christian Hospital during the period of January, 1971 through December, 1980. 1) The incidence of miliary tuberculosis in children was 0.6%(88 cases) of the total pediatric admission cases(13969), and 12.5% (88 cases) of the total pediatric tuberculous patiens(705). 2)... |
To evaluate the hepatotoxicity of RMP in tuberculous children during treatment, liver function tests were performed regularly in 40 children who visited or admitted in Chonnam University Medical School Hospital and Mok-po Children's Tuberculosis Hospital from January 1979 to August 1980. The subjects were divided into three groups according to the administered regimens which were INH+EMB or PAS, INH+RMP(10??15mg/kg) and... |
A clinical review was made on 152 cases of tuberculosis who had been admitted at pediatric department, National Medical Center during the period of 10 years from January, 1969 to December, 1978. The following results were obtained. 1.There noted no difference of annual incidence throughout the study years. 2. The highest age incidence was in the group of 1 to 3 years... |