A Clinical Study on he Intestinal Tuberculosis in Children. |
Young Ran Choi1, Youn Ha Kang1, Young Min Ahn1, Kyo Sun Kim1, Jung Kee Seo2 |
1Department of Pediatrics,Kangnam General Hospital Public Corporation 2Department of Pediatrics, College of Medicine,Seoul National University |
소아 장결핵에 대한 임상적 고찰 |
최영란1, 강연하1, 안영민1, 김교순1, 서정기2 |
1지방공사 강남병원 소아과학교실 2서울대학교 의과대학 소아과학교실 |
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Abstract |
The following results were obtained through the clinical review of 24 cases with the intes-
tinal tuberculosis under the age of 15 years which were treated at Seoul National University
hospital and Kangnam General Hospital Public Corporation during the period of 6 years from
January, 1977 to December, 1982.
1) The peak incidence was noted in the group aged 12 〜 15 years. The ratio of male to
female was 1 : 1.4. 2) The chief complaints on diagnosis were abdominal distension (46%),
abdominal pain (21%) and anorexia(13%), etc.
3) The frequent symptom on admission were abdominal pain, nausea with vomiting and
diarrhea, etc; the frequent general symptom were fever, general weakness, anorexia, and
weight loss, etc. 4) The frequent physical signs were abdominal distension, ascites, etc.
5) Laboratory investigation revealed anemia(75%), raised ESR(50%), hypoalbuminemia
(33%) and positive occult blood in the stool(53%). As the result of tuberculin skin test, 80%
of total cases showed positive reaction. 6) Radiologic findings were followed. Chest films showed
consolidation(7 cases), tracheal & hilar lymph adenopathy (5 cases), etc. Plain films of abdomen
showed gaseous distention (10cases), and ascites(9 cases), etc. Barium enema showed
the most common involved site was the ileocecal region, which was shown in 75% of total cases.
7) The treatment was done as triple therapy with INH, PAS (or Rifampin, Ethambutol)
and streptomycin. The symptom were relieved during the period of follow-up.
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Key Words:
Intestinal tuberculosis, children |
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