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发表评论 Tuberculosis infection in children with negative reactions to the diaskintest
- 作者: Yarovaya Y.A.1, Lozovskaya M.E.1, Klochkova L.V.1, Vasilieva E.B.1, Stepanov G.A.1, Mosina A.V.2
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隶属关系:
- St. Petersburg State Pediatric Medical University, Ministry of Healthcare of the Russian Federation
- City Children’s Infectious Hospital No.
- 期: 卷 10, 编号 3 (2019)
- 页面: 37-44
- 栏目: Original studies
- URL: https://journal-vniispk.ru/pediatr/article/view/15679
- DOI: https://doi.org/10.17816/PED10337-44
- ID: 15679
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详细
Variants of the course of tuberculosis infection in 54 children from two to 14 years old, negatively reacting to a sample with an allergen tuberculosis recombinant (Diaskintest) were analyzed. There were 3 groups: 1st – 27 children infected with Mycobacterium tuberculosis (MBT), 50. 0% of cases; 2nd – 16 children with newly diagnosed residual post-tuberculosis changes (OPTI), 29. 6% of cases; 3rd group – 11 patients with active tuberculosis, 20. 4% of cases.
Methods of examination: intradermal Mantoux test with 2TE and Diaskintest, according to the testimony of a number of patients in vitro tests: QuantiFERON test (QFT), – SPOT test.TV, multispiral computed tomography, bacteriological, molecular genetic methods of investigation on MBT. The method of mass tuberculin diagnostics revealed 70. 4 ± 8. 8% of children of the 1st group, 93. 8 ± 4. 7% of the 2nd group and 54. 6 ± 15. 0% of children of the 3rd group. The duration of infection with MBT in children was different and was less than 1 year in children of the 1st and 2nd groups – 51. 9 ± 9. 6% and 43. 8 ± 12. 4% of cases, respectively, which was significantly more frequent than in patients of the 3rd group (18. 2 ± 11. 6% of cases). Tuberculosis disease occurred in the form of complicated forms of the primary period-in 45. 5 ± 15. 0 % of cases, uncomplicated forms – in 27. 3 ± 3. 4% of cases, generalized lesions – in 27. 3 ± 13. 4% of cases. Diagnosis of a specific lesion occurred equally in the manifest phases of inflammation: infiltration, infiltration and decay (45. 5 ± 15. 0% of cases), and in the phase of ongoing reverse development (incomplete calcination – in 45. 5 ± 15. 0% of cases), one child had a combination of infiltration and calcination phases (9. 1 ± 8. 7% of cases). Residual posttuberculosis changes in children of group 2 were more often formed in the form of calcifications in the organs of the thoracic cavity – in 87. 5% of cases, in 12. 5 ± 8. 3% of patients OPTI was formed by the formation of seals.
Conclusion: in children with negative reactions to the Diaskintest requires individual comprehensive diagnosis of tuberculosis infection.
作者简介
Yulia Yarovaya
St. Petersburg State Pediatric Medical University, Ministry of Healthcare of the Russian Federation
编辑信件的主要联系方式.
Email: Julia_Yarovaya@mail.ru
MD, PhD, Associate Professor, Department of TB
俄罗斯联邦, Saint PetersburgMarina Lozovskaya
St. Petersburg State Pediatric Medical University, Ministry of Healthcare of the Russian Federation
Email: lozovskaja-marina@rambler.ru
MD, PhD, Dr Med Sci, Professor, Department of TB
俄罗斯联邦, Saint PetersburgLudmila Klochkova
St. Petersburg State Pediatric Medical University, Ministry of Healthcare of the Russian Federation
Email: lklochkova@yahoo.com
MD, PhD, Associate Professor, Department of TB
俄罗斯联邦, Saint PetersburgElena Vasilieva
St. Petersburg State Pediatric Medical University, Ministry of Healthcare of the Russian Federation
Email: Helenchern27@mail.ru
MD, PhD, Associate Professor, Department of TB
俄罗斯联邦, Saint PetersburgGennadii Stepanov
St. Petersburg State Pediatric Medical University, Ministry of Healthcare of the Russian Federation
Email: gena.stepanov.1950@mail.ru
MD, PhD, Associate Professor, Department of TB
俄罗斯联邦, Saint PetersburgAnna Mosina
City Children’s Infectious Hospital No.
Email: Julia_Jarovaya@mail.ru
Doctor, Tuberculosis Department
俄罗斯联邦, Saint Petersburg参考
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