Çocukluk Çağı Tüberkülozu: İki Merkez Deneyimi

Öz

Çocukluk çağı tüberkülozu, farklı klinik prezentasyonlarla ortaya çıkabilen ve tanısında önemli güçlükler yaşanabilen bir enfeksiyon hastalığıdır. Çalışmamızda pediatrik tüberküloz olgularının klinik, laboratuvar, radyolojik, mikrobiyolojik ve histopatolojik özelliklerinin değerlendirilmesi amaçlandı. Bu amaçla, retrospektif olarak Nisan 2021-Şubat 2023 tarihleri arasında Erzurum Bölge Eğitim ve Araştırma Hastanesi ve Mart 2023-Mayıs 2026 tarihleri arasında Kocaeli Şehir Hastanesi Çocuk Enfeksiyon Hastalıkları Kliniğinde tüberküloz tanısıyla takip edilen 1 ay-18 yaş arasındaki 18 hasta değerlendirildi. Hastaların demografik özellikleri, klinik bulguları, temas öyküsü, laboratuvar sonuçları, mikrobiyolojik, radyolojik ve histopatolojik incelemeleri ve klinik seyirleri kaydedildi. Hastaların medyan yaşı 13,6 (10-16,3) yıl olup 10'u (%55,6) erkekti. Hastaların 6’sında (%33,3) izole akciğer tutulumu, 8’inde (%44,4) izole lenf nodu tutulumu, 3’ünde (%16,7) gastrointestinal sistem tutulumu ve 1’inde (%5,6) plevral tutulum mevcuttu. Hastaların 3’ünde (%16,7) akciğerde kavite mevcuttu. Tanı ve takipte zorluk yaşanan üç olgu ayrıntılı olarak sunuldu. Sonuç olarak çocukluk çağı tüberkülozu farklı klinik tablolarla ortaya çıkabilen ve tanısı ve tedavisi güç olabilen bir hastalıktır. Klinik, radyolojik, mikrobiyolojik ve histopatolojik bulguların birlikte değerlendirilmesi ve hastaların yakın takibi çok önemlidir.

Anahtar Kelimeler

• çocuk
• ekstrapulmoner tüberküloz
• pulmoner tüberküloz

Destekleyen Kurum

Yok.

Etik Beyan

Kocaeli Şehir Hastanesi Etik Kurulu tarafından çalışma için onay alınmıştır (Karar no:2006-152, Tarih:11.06.2026).

Childhood Tuberculosis: Two Center Experiences

Öz

Childhood tuberculosis is an infectious disease that can present with various clinical manifestations and can present with significant diagnostic challenges. This study aimed to evaluate the clinical, laboratory, radiological, microbiological, and histopathological characteristics of pediatric tuberculosis cases. For this purpose, 18 patients aged 1 month to 18 years, diagnosed with tuberculosis and followed up at Erzurum Regional Training and Research Hospital between April 2021 and February 2023, and at Kocaeli City Hospital Pediatric Infectious Diseases Clinic between March 2023 and May 2026, were retrospectively evaluated. Demographic characteristics, clinical findings, contact history, laboratory results, microbiological, radiological, and histopathological examinations, and clinical course of the patients were recorded. The median age of the patients was 13.6 (10-16.3) years, and 10 (55.6%) were male. Six patients (33.3%) had isolated lung involvement, eight (44.4%) had isolated lymph node involvement, three (16.7%) had gastrointestinal involvement, and one (5.6%) had pleural involvement. Three patients (16.7%) had lung cavities. Three cases that presented with diagnostic and follow-up difficulties are presented in detail. In conclusion, childhood tuberculosis is a disease that can present with different clinical manifestations and can be difficult to diagnose and treat. The combined evaluation of clinical, radiological, microbiological, and histopathological findings, and close patient follow-up, are crucial.

Anahtar Kelimeler

• child
• extrapulmonary tuberculosis
• pulmonary tuberculosis

Destekleyen Kurum

No.

Etik Beyan

The study was approved by the Kocaeli City Hospital Ethics Committee (Decision No: 2006-152, Date: 11.06.2026).

Kaynakça

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