Journal of the Korean Pediatric Society 1977;20(8):621-626.
Published online August 31, 1977.
Clinical Review of Miliary Tuberculosis in Children.
Sun Woo Koo
Mokpo Children's T.B. Hospital, Korea.
小兒栗粒結核에 對한 臨床的 考察
具先祐
木滿市 兒童結核病院
Abstract
Clinical studies were made on 83 miliary tuberculosis at Mokpo Children's T.B. Hospital during the period of January, 1971 through December, 1976. The results were as follows. 1. The highest incidence was noted in the group aged 1 to 3 years of age and 78.3% of all cases was under 6 years. 2. The incidence in summer was noted to be the highest and reverse in the fall. 3. The 26 cases (31.3%) had another T.B. patients in the family, most of them were their parents. 4. As the result of tuberculin skin test, the 45 cases(59.2%) of total 76 cases were noted as positive reaction, except uncertain 7 cases. 5. the chief complaints on adimission were as following orders such as cough, fever, general weakness, vomiting, generalized convulsion, dyspnea etc. 6. The positivity of A.F.B. in sputum or gastric juice was found in 42.2% from direct smear and culture. 7. According to hematologic examination, ESR increased and anemia appeared mostly. Increased leukocyte count was noted in 55.4%. 8. Among complications and associated diseases, tuberculous meningitis was the most as38.6% out of all cases, and the next was tuberculous lymphadenitis. 9. The miliary shadow on X-ray finding in 82.5%disappeared within 4 months after admission, and it persisted over 7 months in 2 cases. 10. The treatment was, initially as a rule, done as triple therapy with INH, PAS and SM in 59 cases, and the secondary tuberculous regimens were administered to 24 cases. The rate of death was noted as 31.3%(26cases), and most of them were under 3 years of age.


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