Conţinutul numărului revistei |
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Articolul urmator |
243 2 |
Ultima descărcare din IBN: 2022-12-25 14:18 |
Căutarea după subiecte similare conform CZU |
616.24-002.5-053.2+616.98:578.834 (1) |
Patologia sistemului respirator. Tulburări ale organelor de respiraţie (757) |
Boli transmisibile. Boli infecţionase şi contagioase, stări febrile (585) |
Virologie (443) |
SM ISO690:2012 DUMBRAVAN, Mihail, BOSOVSCHI, Iulia, LISCINSCAIA, Cristina, SAVENCO, Doina, CARAMAN, Daria. Detection of destructive pulmonary tuberculosis in a child with COVID-19. In: Revista de Ştiinţe ale Sănătăţii din Moldova, 2022, nr. 3 An.1(29), p. 240. ISSN 2345-1467. |
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Revista de Ştiinţe ale Sănătăţii din Moldova | ||||||
Numărul 3 An.1(29) / 2022 / ISSN 2345-1467 | ||||||
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CZU: 616.24-002.5-053.2+616.98:578.834 | ||||||
Pag. 240-240 | ||||||
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Rezumat | ||||||
Background. TB-disease in children develops after primary contact with an adult with contagious TB in the presence of immunosuppression. The COVID-19 pandemic has reduced the number of TB cases diagnosed. WHO reports a 18% decrease in TB cases between 2019 and 2020 (from 7.1 to 5.8 million cases). Objective of the study. Presentation of the case of destructive tuberculosis detected in children with COVID-19 infection. Material and Methods. Anamnestic, clinical and paraclinical data were taken from the medical record. The patient was investigated by radiography and pulmonary tomosynthesis, microbiological examination and molecular-genetic method XPert MBT/RIF. Results. The 15-year-old patient was transferred from the RTI ward where she was being treated for pneumonia in COVID-19. The onset of the disease was manifested by intoxication and bronchopulmonary syndrome, with an episode of hemoptysis. The non-specific treatment administered resulted with torpid dynamics. Radiography and pulmonary tomosynthesis established the “ring image” in the right upper lobe. GeneXPert MBT/RIF – „positive” RIF resistant. The specific treatment regimen administered consisted of antituberculosis drugs for resistant TB. MDR TB was confirmed by bacteriological examination. At 2 and 5 months of treatment, positive clinical-radiological dynamics are followed. The tolerance of the treatment is good, the total duration of the treatment being 9-11 months. The prognosis is considered to be favorable. Conclusion. COVID-19 infection has contributed to the serious evolution and late detection of TB in this child. Microbiological confirmation of the etiology of TB is a priority for correct treatment, according to the sensitivity of Mycobacterium tuberculosis. |
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Cuvinte-cheie tuberculosis, COVID-19, children, uberculoză, COVID-19, copii |
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