Tuberculous Spondylitis and Intermittent Chemotherapy in Childhood

The general characteristics and treatment of childhood tuberculous spondylitis are reviewed. Most of the patients (79 per cent) were under 5 years old with girls being in greater number. Twenty-six patients used classical antituberculous chemotherapy and five were given intermittent chemotherapy. Th...

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Veröffentlicht in:Journal of tropical pediatrics (1980) 1993-08, Vol.39 (4), p.255-257
Hauptverfasser: Toppare, M. F., Göcmen, A., Kiper, N., Gögüs, T.
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container_issue 4
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container_title Journal of tropical pediatrics (1980)
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creator Toppare, M. F.
Göcmen, A.
Kiper, N.
Gögüs, T.
description The general characteristics and treatment of childhood tuberculous spondylitis are reviewed. Most of the patients (79 per cent) were under 5 years old with girls being in greater number. Twenty-six patients used classical antituberculous chemotherapy and five were given intermittent chemotherapy. There was no significant difference in the mean period of inactivation of the disease (2.8 v. 2.9 months) or in posttreatment angle of kyphosis (33° v. 37.6°) between the classical and intermittent chemotherapy groups. In addition to drug therapy, plaster jacket and immobilization were adequate in four children whereas 27 underwent surgery with only two requiring radical operations. In children with tuberculous spondylitis, intermittent drug treatment is a good alternative due to effectiveness and convenience of use and radical surgery should be reserved for selected cases.
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subjects Bacterial arthritis and osteitis
Bacterial diseases
Biological and medical sciences
Child, Preschool
Drug Therapy, Combination
Female
Human bacterial diseases
Humans
Infectious diseases
Isoniazid - therapeutic use
Lumbar Vertebrae - physiopathology
Male
Medical sciences
Psoas Abscess - physiopathology
Spondylitis - diagnosis
Spondylitis - drug therapy
Spondylitis - physiopathology
Streptomycin - administration & dosage
Streptomycin - therapeutic use
Thoracic Vertebrae - physiopathology
Tropical medicine
title Tuberculous Spondylitis and Intermittent Chemotherapy in Childhood
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