Modern clinical features of intrathoracic tuberculosis in children

Abstract

The article sums up a multi-profile epidemiological and clinical study performed for the last decade in the Russian Federation. Clinical peculiarities of child’s intrathoracic tuberculosis, reasons of complicated forms occurrence and an influence of various factors on their frequency were viewed. An importance of the differentiated approach to intrathoracic tuberculosis detection in phthysiopaediatric and general therapeutic facilities was shown.
A comparison of clinical signs of extended complicated and uncomplicated tuberculosis has determined that the mild forms have several characteristic features. The disease onset is typically gradual. Sensitivity to tuberculin is quite low in most patients. Intoxication could be mild or manifested by single symptom s, hyporexia or mild fever, etc. X-ray examination detects localized lesions of intrathoracic lymph nodes or single small foci in the lung tissue. The complicated forms are prevalently characterized by com plications in the lung tissue, such as the lung tissue decay, seeding, pleural effusion or lung atelectasis.