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Clinical Study on Tuberculosis in Infancy and Early Childhood.

Journal of the Korean Pediatric Society 1982;25(8):807-815.
Published online August 31, 1982.
Clinical Study on Tuberculosis in Infancy and Early Childhood.
Kong Youb Han, Ki Hyun Yoon, Kyung Hae Park, Sung Hwan Kim, Chan Yung Kim
Department of Pediatrics, College of Medicine, Busan National University, Korea.
영유아 중증결핵에 관한 임상적 고찰
한공엽, 윤기현, 박경혜, 김성환, 김찬영
부산대학교 의과대학 소아과학교실
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 and 34.9% in both. 2) There was no significant annual difference and the higher incidence by age noticed as 48.7% in patients under age of 2 Years. Seasonal distribution showed slightly increased incidence in spring and early summer. 3) Family history of tuberculosis was found in 50.0% of cases and most sources of infection were their parents. 4) In tuberculin skin test, 36.8% of cases were noticed as positive reaction. BCG Vaccination was not done in 53.8% of cases. 5) Treatment was done in two divided group : one group with INH. SM. And PAS. And another group with INH. SM. And RMP. Effectiveness of treatment was better in the group treated with INH.SM. and RMP. Than the group treated with INH.SM. and PAS. Liver function abnormalities were noticed in the group treated with INH.SM. and RMP. After 2-3 weeks but most casease were recovered by redused doses.
Key Words: Severe tuberculosis, miliary tuberculosis, tuberculous meningitis

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