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Clin Chest Med. 2005 Jun;26(2):295-312, vii. doi: 10.1016/j.ccm.2005.02.010.

Tuberculosis in children.

Clinics in chest medicine

Kristina Feja, Lisa Saiman

Affiliations

  1. Department of Pediatrics, College of Physicians and Surgeons, Columbia University, 622 West 168th Street, PH4West, New York, NY 10032, USA.

PMID: 15837112 DOI: 10.1016/j.ccm.2005.02.010

Abstract

The epidemiology of pediatric tuberculosis (TB) is shaped by risk factors such as age, race, immigration, poverty, overcrowding, and HIV/AIDS. Once infected, young children are at increased risk of TB disease and progression to extrapulmonary disease. Primary disease and its complications are more common in children than in adults, leading to differences in clinical and radiographic manifestations. Difficulties in diagnosing children stem from the low yield of mycobacteriology cultures and the subsequent reliance on clinical case definitions. Inadequately treated TB infection and TB disease in children today is the future source of disease in adults.

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