FREQUENCY OF TUBERCULOSIS MENINGITIS IN CHILDREN OF ZAHEDAN

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SHARIFIMOUD BATOUL; ALAVI NAEINI R.; METANAT M.; KHALILI M.; KOUHPAYEH H.R.

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Journal: Iranian Journal of Infectious Diseases and Tropical Medicine Year:2006 | Volume:11 | Issue:32 Page(s): 57-62

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Title

FREQUENCY OF TUBERCULOSIS MENINGITIS IN CHILDREN OF ZAHEDAN

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Keywords

TUBERCULOSIS MENINGITISQ3

CHILDRENQ3

PREVALENCEQ3

ZAHEDANQ2

Abstract

Background: Tuberculosis is an health important problem in developing countries and Iran. It constitutes the main infectious cause of death worldwide. An estimated the most common manifestation is pulmonary infection but extra-pulmonary tuberculosis accounts for up to one third of all cases. CHILDREN show a higher predisposition to the development of extra-pulmonary tuberculosis. The impact of extra-pulmonary tuberculosis is greatest among infants and young CHILDREN who tend to develop more severe extra-pulmonary disease, especially meningitis, and miliary tuberculosis. This study was conducted in order to determine the PREVALENCE of TUBERCULOSIS MENINGITIS in CHILDREN in ZAHEDAN.Materials and methods: In this Existing data study all patients aged less than 18 years who were treated for active tuberculosis during 10 years between Feb 1994 to 2003 were identified. Then CHILDREN with TUBERCULOSIS MENINGITIS determined. Results: Of the 398 patients with tuberculosis, 123 cases (31%) had extra pulmonary TB. Out of patients with extra pulmonary TB, 86% were Iranian and 14% were Afghan patients. Tuberculosis lymphadenitis was the commonest form (44.7%) and pricarditis was less than other forms (2.4%). Among the patients with extrapulmonary TB, 9.2% (12 cases) had treated for tuberculous meningitis, that 7 cases (58%) were male. The mean age at presentation was 4.1 years, with 4 patients (33%) younger than 10 years. Our epidemiologic data showed that7 (58%) of the patients had a family history of TB, and all patients had a Mantoux skin test result of >10 mm of induration. Radiographic studies demonstrated abnormal chest findings in 6 patients (50%) (hilar adenopathy, infiltrates, miliary pattern, and pleural effusions, and 8 (66%) cases with hydrocephalus 3 cases, parenchymal disease (1 case), basilar meningitis (2 cases) and 2 patients with tuberculomas. Only 2 of CHILDREN had a positive PCR for mycobacterium tuberculosis in cerebrospinal fluid, and Mycobacterium tuberculosis was not isolated in any patients three cases had complication including hemiparesis, seizure and facial paralysis. All the patients were treated with Isoniazid, rifampin, and streptomycin or pyrazinamide for 9 months.Conclusions: As a conclusion, in the endemic areas when a patient has an lymphocyter meningitis with an sub acute or chronic period, the physicians must have TB meningitis in mind too.

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References

AN EPIDEMIOLOGICAL STUDY OF EXTRAPULMOMARY TUBERCULOSIS IN MASHHAD (1997-2001)

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APA: Copy

SHARIFIMOUD, BATOUL, ALAVI NAEINI, R., METANAT, M., KHALILI, M., & KOUHPAYEH, H.R.. (2006). FREQUENCY OF TUBERCULOSIS MENINGITIS IN CHILDREN OF ZAHEDAN. IRANIAN JOURNAL OF INFECTIOUS DISEASES AND TROPICAL MEDICINE, 11(32), 57-62. SID. https://sid.ir/paper/52887/en

Vancouver: Copy

SHARIFIMOUD BATOUL, ALAVI NAEINI R., METANAT M., KHALILI M., KOUHPAYEH H.R.. FREQUENCY OF TUBERCULOSIS MENINGITIS IN CHILDREN OF ZAHEDAN. IRANIAN JOURNAL OF INFECTIOUS DISEASES AND TROPICAL MEDICINE[Internet]. 2006;11(32):57-62. Available from: https://sid.ir/paper/52887/en

IEEE: Copy

BATOUL SHARIFIMOUD, R. ALAVI NAEINI, M. METANAT, M. KHALILI, and H.R. KOUHPAYEH, “FREQUENCY OF TUBERCULOSIS MENINGITIS IN CHILDREN OF ZAHEDAN,” IRANIAN JOURNAL OF INFECTIOUS DISEASES AND TROPICAL MEDICINE, vol. 11, no. 32, pp. 57–62, 2006, [Online]. Available: https://sid.ir/paper/52887/en

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