Tuberculosis lymphadenitis in children-14 years of experience

Boshkovska, Katerina and Ivanovska, Julija and Nestorov, Hristijan and Popova, Gorica and Arnaudova-Danevska, Ivana and Petlichkovska, Sandra and Chakalarovska, Irena (2023) Tuberculosis lymphadenitis in children-14 years of experience. Journal of Morphological Sciences, Vol 6 (2). pp. 82-87. ISSN 2545-4706

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Abstract

Tuberculosis (TB) is a major public health problem worldwide. It is one of the main causes of
infectious disease and mortality, especially in developing countries. Extrapulmonary tuberculosis
accounts for 15-20 % of all types of tuberculosis. Lymph nodes are the second most common
localization after pleural TB. In childhood, the most commonly evolved are the hilar lymph nodes.
We analyzed the frequency of tuberculous lymphadenitis in children treated at the Institute for
respiratory diseases in children-Kozle, in the last 14 years. From January 2006 to February 2020,
we’ve treated 397 children with TB. 55 of them (13,8%), were with tuberculous lymphadenitis.
Female children were 34 (61%), the others were male. The most frequent was hilar lymphadenitis at
40 (72%), second localization were cervical lymph nodes in 10 (18%).
There was 1 child with submandibular localization,1supraclavicular,2children with axillary
lymphadenitis and one with mesenterial lymphadenitis. Most of the patients had contact with TB. The
diagnosis was confirmed pathohistological in the patients with peripheral lymphadenitis. Tuberculosis
treatment was started in all patients based on clinical criteria, exposure, positive TST, chest X-ray, or
histological confirmation.
All of the patients have finished the treatment successfully. Tuberculous lymphadenitis can be
a diagnostic and therapeutic challenge in children. Early diagnosis and timely initiation of therapy
lead to favorable therapeutic outcome and reduce complications.

Item Type:	Article
Uncontrolled Keywords:	children, lymphadenitis, tuberculosis
Subjects:	Medical and Health Sciences > Basic medicine Medical and Health Sciences > Clinical medicine
Divisions:	Faculty of Medical Science
Depositing User:	Gorica Popova
Date Deposited:	25 Dec 2023 08:57
Last Modified:	25 Dec 2023 08:57
URI:	https://eprints.ugd.edu.mk/id/eprint/32990

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