Pleural tuberculosis: experiences from two centers in Brazil
Abstract Objective: This study aimed to describe the clinical and laboratory findings of patients diagnosed with pleural tuberculosis at two hospitals in southern Brazil. Methods: Patients aged < 18 years were evaluated retrospectively. The patients’ medical and epidemiological history, tuberculin skin test results, radiological and pathological findings, and pleural fluid analysis results were retrieved. Results: Ninety-two patients with pleural tuberculosis were identified. The mean age was 10.9 years old. Twenty-one percent were children aged six years or less. The most common symptoms were fever (88%), cough (72%), and chest pain (70%). Unilateral pleural effusion was observed in 96% of the cases. Lymphocyte predominance was found in 90% of the pleural fluid samples. The adenosine deaminase activity of the pleural fluid was greater than 40 U/L in 85% of patients. A diagnosis of community-acquired pneumonia with antibiotic prescriptions was observed in 76% of the study population. Conclusions: Tuberculosis etiology must be considered in unilateral pleural effusion in a child with contact with a case of tuberculosis. Pleural fluid biomarkers contribute to the diagnosis of pleural tuberculosis in children and adolescents.
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Sociedade Brasileira de Pediatria
2022
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oai:scielo:S0021-755720220006006212022-12-01Pleural tuberculosis: experiences from two centers in BrazilLunelli,MagdaFerreira,Isabel Cristina SchützSarmento,Muriel BossleChakr,Valentina Coutinho Baldoto GavaFischer,Gilberto Bueno Mycobacterium infection Pleural diseases Adenosine deaminase Abstract Objective: This study aimed to describe the clinical and laboratory findings of patients diagnosed with pleural tuberculosis at two hospitals in southern Brazil. Methods: Patients aged < 18 years were evaluated retrospectively. The patients’ medical and epidemiological history, tuberculin skin test results, radiological and pathological findings, and pleural fluid analysis results were retrieved. Results: Ninety-two patients with pleural tuberculosis were identified. The mean age was 10.9 years old. Twenty-one percent were children aged six years or less. The most common symptoms were fever (88%), cough (72%), and chest pain (70%). Unilateral pleural effusion was observed in 96% of the cases. Lymphocyte predominance was found in 90% of the pleural fluid samples. The adenosine deaminase activity of the pleural fluid was greater than 40 U/L in 85% of patients. A diagnosis of community-acquired pneumonia with antibiotic prescriptions was observed in 76% of the study population. Conclusions: Tuberculosis etiology must be considered in unilateral pleural effusion in a child with contact with a case of tuberculosis. Pleural fluid biomarkers contribute to the diagnosis of pleural tuberculosis in children and adolescents.info:eu-repo/semantics/openAccessSociedade Brasileira de PediatriaJornal de Pediatria v.98 n.6 20222022-12-01info:eu-repo/semantics/articletext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S0021-75572022000600621en10.1016/j.jped.2022.03.006 |
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Lunelli,Magda Ferreira,Isabel Cristina Schütz Sarmento,Muriel Bossle Chakr,Valentina Coutinho Baldoto Gava Fischer,Gilberto Bueno |
spellingShingle |
Lunelli,Magda Ferreira,Isabel Cristina Schütz Sarmento,Muriel Bossle Chakr,Valentina Coutinho Baldoto Gava Fischer,Gilberto Bueno Pleural tuberculosis: experiences from two centers in Brazil |
author_facet |
Lunelli,Magda Ferreira,Isabel Cristina Schütz Sarmento,Muriel Bossle Chakr,Valentina Coutinho Baldoto Gava Fischer,Gilberto Bueno |
author_sort |
Lunelli,Magda |
title |
Pleural tuberculosis: experiences from two centers in Brazil |
title_short |
Pleural tuberculosis: experiences from two centers in Brazil |
title_full |
Pleural tuberculosis: experiences from two centers in Brazil |
title_fullStr |
Pleural tuberculosis: experiences from two centers in Brazil |
title_full_unstemmed |
Pleural tuberculosis: experiences from two centers in Brazil |
title_sort |
pleural tuberculosis: experiences from two centers in brazil |
description |
Abstract Objective: This study aimed to describe the clinical and laboratory findings of patients diagnosed with pleural tuberculosis at two hospitals in southern Brazil. Methods: Patients aged < 18 years were evaluated retrospectively. The patients’ medical and epidemiological history, tuberculin skin test results, radiological and pathological findings, and pleural fluid analysis results were retrieved. Results: Ninety-two patients with pleural tuberculosis were identified. The mean age was 10.9 years old. Twenty-one percent were children aged six years or less. The most common symptoms were fever (88%), cough (72%), and chest pain (70%). Unilateral pleural effusion was observed in 96% of the cases. Lymphocyte predominance was found in 90% of the pleural fluid samples. The adenosine deaminase activity of the pleural fluid was greater than 40 U/L in 85% of patients. A diagnosis of community-acquired pneumonia with antibiotic prescriptions was observed in 76% of the study population. Conclusions: Tuberculosis etiology must be considered in unilateral pleural effusion in a child with contact with a case of tuberculosis. Pleural fluid biomarkers contribute to the diagnosis of pleural tuberculosis in children and adolescents. |
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Sociedade Brasileira de Pediatria |
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2022 |
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http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0021-75572022000600621 |
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