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 ...
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,...
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...
Mortality for untreated TB is 40% over 4 years.
F...
Boehme CC, Nabeta P, Hillemann D, et al. Rapid molecular detection of tuberculosis and rifampin resistance. N Engl J Med. 2010;363(11):1005–1015. [View Abstract on OvidInsight...
011.90 Pulmonary tuberculosis, unspecified, unspecified
771.2 Other congenital infections specific to the perinatal period
V01.1 Contact with or exposure to tuberculosis
A15.9 Respiratory ...
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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FIGURE 20.3. Chest radiograph (posteroanterior view only) demonstrating the radiographic presentation of miliary tuberculosis.
FIGURE 20.4. Chest radiographs (posteroanterior and lateral views) demonstrating cavitary reactivation of latent tuberculosis infection in the posterior apical segment of the right upper lobe.
FIGURE 20.4. Chest radiographs (posteroanterior and lateral views) demonstrating cavitary reactivation of latent tuberculosis infection in...
Necrotizing granuloma due to M. tuberculosis. A small tuberculous granuloma with conspicuous central caseation is present in the pulmonary parenchyma.
Necrotizing granuloma due to M. tuberculosis. A small tuberculous granuloma with conspicuous central caseation is present in the pulmonary...
Cavitary tuberculosis. The apex of the left upper lobe shows tuberculous cavities surrounded by consolidated and fibrotic pulmonary parenchyma, which contains small tubercles.
Cavitary tuberculosis. The apex of the left upper lobe shows tuberculous cavities surrounded by consolidated and fibrotic pulmonary parenc...
Miliary tuberculosis. Multiple millimeter-sized nodules are scattered throughout the lung parenchyma.
Figure 189.1. Chest radiograph demonstrating apical infiltrate with cavitation, typical of pulmonary tuberculosis.
Tuberculous spondylitis (Pott disease). A vertebral body is almost completely replaced by tuberculous tissue. Note the preservation of the intervertebral discs.
Tuberculous spondylitis (Pott disease). A vertebral body is almost completely replaced by tuberculous tissue. Note the preservation of the...
Mycobacterium tuberculosis. A smear of a pulmonary lesion shows slender, beaded, acid-fast bacilli.