Üç Aylık Bebekte Tüberküloz Lenfadenit

Yıl 2019, Cilt: 3 Sayı: 2, 148 - 152, 29.08.2019

Bahri Elmas , Onur Bircan , Gizem Ay Öner Özdemir , Mustafa Büyükavcı

https://doi.org/10.34084/bshr.597630

Öz

Tüberküloz
lenfadenit ülkemiz gibi tüberkülozun sık görüldüğü ülkelerde çocukluk çağında
akciğer dışı tüberkülozun en sık rastlanan formu olarak karşımıza çıkmaktadır.
Çocuklarda sıklığının %35-67 arasında değiştiği ve en sık servikal lenf
nodlarında tutulum olduğu bildirilmektedir. 3 aylık kız hasta ateş, solunum
sıkıntısı ve boyunda şişlik nedeni ile çocuk servisine yatırıldı. Akut
lenfadenit ön tanısıyla ampirik antibiyotik tedavisi başlandı. Ampirik
antibiyotik tedavisine yanıt vermeyen hastaya yapılan TDT endürasyon çapı 18 mm
ölçüldü. Aynı dönemde anne de tüberküloz tanısı aldı. Açlık mide suyunda ARB
pozitif değerlendirildi. Tüberküloz PCR ile mycobacterium tuberclosis saptandı. Anti tüberküloz tedavi
başlanan hasta da tedavi sonrası tam remisyon sağlanmıştır. Servikal
lenfadenopati ayırıcı tanısında özellikle erken süt çocukluğu döneminde
tüberküloz öncelikli olarak düşünülmeyebilir. 
Sık görülen bir form olması nedeni ile lenfadenopatili hastalarda her yaşta
tüberküloz düşünülmelidir.

Anahtar Kelimeler

Lenfadenit, Süt çocuğu, Tüberküloz

Tuberculosis Lymphadenitis in a Three Month Old Baby

Öz

Tuberculosis
lymphadenitis is the most common form of extrapulmonary tuberculosis in
childhood in countries where tuberculosis is common. It has been reported that
the incidence varies between 35-67% in children and the most common involvement
is cervical lymph nodes. A 3-month-old girl was admitted to the pediatric
clinic because of fever, respiratory distress and swelling on the neck.  Empirical antibiotic treatment was initiated
with a preliminary diagnosis of acute lymphadenitis.  The TBT induration diameter of the patient,
who did not respond to empirical antibiotic therapy, was measured 18 mm. At the
same time, the mother was diagnosed with tuberculosis.  ARB positivity was found in morning gastric
aspirate before meal. Mycobacterium
tuberclosis was detected by tuberculosis PCR. Anti-tuberculosis treatment was
initiated and complete remission was achieved after the treatment. Tuberculosis
may not be considered primarily in the differential diagnosis of cervical
lymphadenopathy especially in early infancy. Tuberculosis should be considered
at all ages in patients with lymphadenopathy because of its prevalence.

Anahtar Kelimeler

Infant, Lymphadenitis, Tuberculosis

Kaynakça

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