Pediatric tuberculosis : Clinical presentation and contact investigation at an urban medical center
(A) To characterize the clinical presentation of pediatric tuberculosis in Los Angeles County; (B) to determine the efficacy of contact investigation in identifying a source case for children with tuberculosis. We reviewed the medical records, chest radiograph and Tuberculosis Control records of 34...
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| Veröffentlicht in: | Respiration 1998-05, Vol.65 (3), p.192-194 |
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| creator | WATCHI, R KAHLSTROM, E VACHON, L. A BARNES, P. F |
| description | (A) To characterize the clinical presentation of pediatric tuberculosis in Los Angeles County; (B) to determine the efficacy of contact investigation in identifying a source case for children with tuberculosis.
We reviewed the medical records, chest radiograph and Tuberculosis Control records of 34 children (age < 15 years) evaluated at Los Angeles County from January 1992 through December 1993.
All patients were Hispanic. The mean age was 2.2 years. Thirty-three patients (97%) had intrathoracic disease. Eighteen patients (53%) were symptomatic and the most common symptoms were fever and cough. The contact investigation revealed only 4 patients (2%) to be adult source cases with active tuberculosis.
The clinical features of pediatric tuberculosis in Los Angeles County confirm results previously reported in other parts of the US. In contrast, the identification of adult source cases is suboptimal. Improved methods of contact tracing are needed when evaluating children with tuberculosis. |
| doi_str_mv | 10.1159/000029258 |
| format | Article |
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We reviewed the medical records, chest radiograph and Tuberculosis Control records of 34 children (age < 15 years) evaluated at Los Angeles County from January 1992 through December 1993.
All patients were Hispanic. The mean age was 2.2 years. Thirty-three patients (97%) had intrathoracic disease. Eighteen patients (53%) were symptomatic and the most common symptoms were fever and cough. The contact investigation revealed only 4 patients (2%) to be adult source cases with active tuberculosis.
The clinical features of pediatric tuberculosis in Los Angeles County confirm results previously reported in other parts of the US. In contrast, the identification of adult source cases is suboptimal. Improved methods of contact tracing are needed when evaluating children with tuberculosis.</description><identifier>ISSN: 0025-7931</identifier><identifier>EISSN: 1423-0356</identifier><identifier>DOI: 10.1159/000029258</identifier><identifier>PMID: 9670300</identifier><identifier>CODEN: RESPBD</identifier><language>eng</language><publisher>Freiburg: Karger</publisher><subject>Academic Medical Centers ; Adolescent ; Bacterial diseases ; Biological and medical sciences ; Child ; Child, Preschool ; Contact Tracing ; Female ; Hispanic Americans ; Human bacterial diseases ; Humans ; Infant ; Infectious Disease Transmission, Vertical ; Infectious diseases ; Los Angeles - epidemiology ; Male ; Medical sciences ; Retrospective Studies ; Tuberculosis - diagnosis ; Tuberculosis - epidemiology ; Tuberculosis - transmission ; Tuberculosis and atypical mycobacterial infections ; Urban Population</subject><ispartof>Respiration, 1998-05, Vol.65 (3), p.192-194</ispartof><rights>1998 INIST-CNRS</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27924,27925</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=2302915$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/9670300$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>WATCHI, R</creatorcontrib><creatorcontrib>KAHLSTROM, E</creatorcontrib><creatorcontrib>VACHON, L. A</creatorcontrib><creatorcontrib>BARNES, P. F</creatorcontrib><title>Pediatric tuberculosis : Clinical presentation and contact investigation at an urban medical center</title><title>Respiration</title><addtitle>Respiration</addtitle><description>(A) To characterize the clinical presentation of pediatric tuberculosis in Los Angeles County; (B) to determine the efficacy of contact investigation in identifying a source case for children with tuberculosis.
We reviewed the medical records, chest radiograph and Tuberculosis Control records of 34 children (age < 15 years) evaluated at Los Angeles County from January 1992 through December 1993.
All patients were Hispanic. The mean age was 2.2 years. Thirty-three patients (97%) had intrathoracic disease. Eighteen patients (53%) were symptomatic and the most common symptoms were fever and cough. The contact investigation revealed only 4 patients (2%) to be adult source cases with active tuberculosis.
The clinical features of pediatric tuberculosis in Los Angeles County confirm results previously reported in other parts of the US. In contrast, the identification of adult source cases is suboptimal. Improved methods of contact tracing are needed when evaluating children with tuberculosis.</description><subject>Academic Medical Centers</subject><subject>Adolescent</subject><subject>Bacterial diseases</subject><subject>Biological and medical sciences</subject><subject>Child</subject><subject>Child, Preschool</subject><subject>Contact Tracing</subject><subject>Female</subject><subject>Hispanic Americans</subject><subject>Human bacterial diseases</subject><subject>Humans</subject><subject>Infant</subject><subject>Infectious Disease Transmission, Vertical</subject><subject>Infectious diseases</subject><subject>Los Angeles - epidemiology</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Retrospective Studies</subject><subject>Tuberculosis - diagnosis</subject><subject>Tuberculosis - epidemiology</subject><subject>Tuberculosis - transmission</subject><subject>Tuberculosis and atypical mycobacterial infections</subject><subject>Urban Population</subject><issn>0025-7931</issn><issn>1423-0356</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1998</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNo9UE1LxDAQDaKs6-rBHyDkIN6q-WjaxpssfsGCHvRc0mRWIt20Jqngv98Ri3OYYea9ecw8Qs45u-Zc6RuGIbRQzQFZ8lLIgklVHZIlTlVRa8mPyUlKn4xx1TRiQRa6qplkbEnsKzhvcvSW5qmDaKd-SD7RW7ruffDW9HSMkCBkk_0QqAmO2gE7m6kP35Cy_5iRjCCdYod5h6K_qxb3IJ6So63pE5zNdUXeH-7f1k_F5uXxeX23KUYhVS6ELKUQurFQdVAJzVwnalM5W7LSVdpUpRPOalFDzTteg9xqZpUR2jIoDf6zIld_umMcviY8rd35ZKHvTYBhSm2DdnD0C4kXM3Hq8NR2jH5n4k87u4L45YybhG9sownWp3-akGg2yuwBOpNv9Q</recordid><startdate>19980501</startdate><enddate>19980501</enddate><creator>WATCHI, R</creator><creator>KAHLSTROM, E</creator><creator>VACHON, L. A</creator><creator>BARNES, P. F</creator><general>Karger</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>7X8</scope></search><sort><creationdate>19980501</creationdate><title>Pediatric tuberculosis : Clinical presentation and contact investigation at an urban medical center</title><author>WATCHI, R ; KAHLSTROM, E ; VACHON, L. A ; BARNES, P. F</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-p235t-23432298ce6be6290db27a6dc404d69a64d2dc927e71b17e3f90c5a29c0e4a703</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1998</creationdate><topic>Academic Medical Centers</topic><topic>Adolescent</topic><topic>Bacterial diseases</topic><topic>Biological and medical sciences</topic><topic>Child</topic><topic>Child, Preschool</topic><topic>Contact Tracing</topic><topic>Female</topic><topic>Hispanic Americans</topic><topic>Human bacterial diseases</topic><topic>Humans</topic><topic>Infant</topic><topic>Infectious Disease Transmission, Vertical</topic><topic>Infectious diseases</topic><topic>Los Angeles - epidemiology</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Retrospective Studies</topic><topic>Tuberculosis - diagnosis</topic><topic>Tuberculosis - epidemiology</topic><topic>Tuberculosis - transmission</topic><topic>Tuberculosis and atypical mycobacterial infections</topic><topic>Urban Population</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>WATCHI, R</creatorcontrib><creatorcontrib>KAHLSTROM, E</creatorcontrib><creatorcontrib>VACHON, L. A</creatorcontrib><creatorcontrib>BARNES, P. F</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>MEDLINE - Academic</collection><jtitle>Respiration</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>WATCHI, R</au><au>KAHLSTROM, E</au><au>VACHON, L. A</au><au>BARNES, P. F</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Pediatric tuberculosis : Clinical presentation and contact investigation at an urban medical center</atitle><jtitle>Respiration</jtitle><addtitle>Respiration</addtitle><date>1998-05-01</date><risdate>1998</risdate><volume>65</volume><issue>3</issue><spage>192</spage><epage>194</epage><pages>192-194</pages><issn>0025-7931</issn><eissn>1423-0356</eissn><coden>RESPBD</coden><abstract>(A) To characterize the clinical presentation of pediatric tuberculosis in Los Angeles County; (B) to determine the efficacy of contact investigation in identifying a source case for children with tuberculosis.
We reviewed the medical records, chest radiograph and Tuberculosis Control records of 34 children (age < 15 years) evaluated at Los Angeles County from January 1992 through December 1993.
All patients were Hispanic. The mean age was 2.2 years. Thirty-three patients (97%) had intrathoracic disease. Eighteen patients (53%) were symptomatic and the most common symptoms were fever and cough. The contact investigation revealed only 4 patients (2%) to be adult source cases with active tuberculosis.
The clinical features of pediatric tuberculosis in Los Angeles County confirm results previously reported in other parts of the US. In contrast, the identification of adult source cases is suboptimal. Improved methods of contact tracing are needed when evaluating children with tuberculosis.</abstract><cop>Freiburg</cop><cop>Basel</cop><cop>Paris</cop><pub>Karger</pub><pmid>9670300</pmid><doi>10.1159/000029258</doi><tpages>3</tpages></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 0025-7931 |
| ispartof | Respiration, 1998-05, Vol.65 (3), p.192-194 |
| issn | 0025-7931 1423-0356 |
| language | eng |
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| source | MEDLINE; Karger Journals |
| subjects | Academic Medical Centers Adolescent Bacterial diseases Biological and medical sciences Child Child, Preschool Contact Tracing Female Hispanic Americans Human bacterial diseases Humans Infant Infectious Disease Transmission, Vertical Infectious diseases Los Angeles - epidemiology Male Medical sciences Retrospective Studies Tuberculosis - diagnosis Tuberculosis - epidemiology Tuberculosis - transmission Tuberculosis and atypical mycobacterial infections Urban Population |
| title | Pediatric tuberculosis : Clinical presentation and contact investigation at an urban medical center |
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