SOVREMENNAYA PEDIATRIYA.2016.6(78):88-91; doi 10.15574/SP.2016.78.88 

Characteristics of combined forms of extrathoracic tuberculosis using various detection methods 

Piskur Z. I.

Lviv National Medical University after Danylo Halytsky, Ukraine

Objective — to study peculiarities of combined extrathoracic forms of tuberculosis (TB) in children using different methods of its detection.

Materials and methods. 231 medical histories of children were analysed for the period 1988–2015, 103 of these being combined forms of extrathoracic tuberculosis with respiratory tuberculosis, 35 — independent forms of extrathoracic TB, and 93 — respiratory TB.

Results and discussion. In 91.3±2.5% cases the extrathoracic tuberculosis was diagnosed while seeking medical advice, in 5.1±8.9% — during the initial examination of contact people with TB patients, in 3.6±9.3% — during tuberculinization. Combined and independent forms of extrathoracic TB were significantly more likely to be found (89.3±3.2% and 97.1±2.8% vs. 47.3±7.5%; p<0.05) than respiratory tuberculosis while visiting a doctor. The combination of extrathoracic tuberculosis in 17.4±9.7% cases with respiratory tuberculosis in phases of regression, first identified while visiting a doctor, and in one case combined with tuberculosis of intrathoracic lymph nodes detected during preventive examination, indicates irregular inspection of risk groups and late diagnosis of tuberculosis. The most effective methods of detecting extrathoracic tuberculosis are preventive ones, in which extrathoracic tuberculosis combined with severe forms of respiratory tuberculosis not as frequently, and specific process involved no more than two organs.

Conclusions. To improve early detection of extrathoracic tuberculosis there is an urgent need to provide tuberculin to medical facilities, examine risk groups regularly and it is obligatory to carry out tuberculinization to children who visit a clinic with any somatic disease.

Keywords: extrathoracic tuberculosis, respiratory tuberculosis, detection methods, children.

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