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Tuberculosis, Pediatric

Andrew P. Steenhoff, MBBCh, DCH Reviewed 10/2018
 


BASICS

DESCRIPTION

  • Pediatric tuberculosis (TB) is the disease state caused by Mycobacterium tuberculosis, an acid-fast bacillus (AFB). Pediatric TB should be regarded as a spectrum of exposure through ...

DIAGNOSIS

HISTORY

  • Exposure: family member with TB or positive skin test

  • Migrant farm workers

  • Immigration from a TB-endemic geographic area (e.g., Haiti, Southeast Asia, Africa, South and Central America,...

TREATMENT

GENERAL MEASURES

  • Hospitalization (if the patient has disease)

    • In cases of extensive disease (e.g., miliary TB or meningitis), and when an adult source case is not known, aggressive attempts sh...

ONGOING CARE

FOLLOW-UP RECOMMENDATIONS

Patient Monitoring

Both follow-up and contact tracing are key to diagnosing, managing, and preventing TB. 

PROGNOSIS

  • Mortality for untreated TB is 40% over 4 years.

  • F...

ADDITIONAL READING

CODES

ICD9

  • 011.90 Pulmonary tuberculosis, unspecified, unspecified

  • 771.2 Other congenital infections specific to the perinatal period

  • V01.1 Contact with or exposure to tuberculosis

ICD10

  • A15.9 Respiratory ...

FAQ

  • Q: Should all children in close proximity to inner city areas with a prevalence of TB be screened annually with PPD?

  • A: The American Academy of Pediatrics (AAP) and CDC encourage targeted screening...

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