Radiological Findings of Pulmonary Tuberculosis in Children at  Dr. Hasan Sadikin General Hospital Bandung 2018–2019

Nanda Mia Ghaesani; Ristaniah Rose Effendy; Diah Asri Wulandari

doi:10.15850/amj.v8n4.2338

Radiological Findings of Pulmonary Tuberculosis in Children at Dr. Hasan Sadikin General Hospital Bandung 2018–2019

Nanda Mia Ghaesani, Ristaniah Rose Effendy, Diah Asri Wulandari

Abstract

Background: Tuberculosis (TB) remains a major cause of death worldwide, especially in children. Indonesia is ranked second as the largest contributor to TB. Chest X-rays have been used to diagnose pulmonary TB in children, however, the results are varied. Therefore, this study was performed to explore the radiological findings among children with pulmonary TB.

Methods: Retrospective descriptive study was conducted by analyzing the chest X-ray findings retrieved from the medical records of all pulmonary TB children treated at Dr. Hasan Sadikin General Hospital during 2018 to 2019. Inclusion criteria were medical records of patients aged 1 month to 18 years diagnosed with pulmonary TB who underwent chest X-ray (n=223).

Results: The highest incidence of pulmonary TB was found in the group of 10–18 years (43.9%) and female (50.2%). The results of chest X-ray were infiltrates (65.0%), lymphadenopathy (11.7%), cavity (7.6%), calcifications (7.6%), miliary (4.9%), pleural effusion (3.1%) and atelectasis (1.8%).

Conclusion: Infiltrates are the major finding on Chest X-ray in children with TB.

Keywords

Chest X-ray, children, pulmonary tuberculosis

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References

World Health Organization. Global tuberculosis report 2020. Geneva: WHO; 2020.

Tim Riskesdas 2018 Kementerian Kesehatan RI. Laporan Provinsi Jawa Barat: Riskesdas 2018. Jakarta: Lembaga Penerbit Badan Penelitian dan Pengembangan Kesehatan; 2019.

Roy RB, Whittaker E, Seddon JA, Kampmann B. Children and mycobacterium tuberculosis: a review of susceptibility and protection. Lancet Infect Dis. 2019; 19(3):e-96–108.

Holmberg PJ, Temesgen Z, Banerjee R. Tuberculosis in children. Pediatr Rev. 2019;40(4):168–78.

García-basteiro AL, López-varela E, Augusto OJ, Gondo K, Muñoz J, Sacarlal J, et al. Radiological findings in young children investigated for tuberculosis in Mozambique. PLoS One. 2015;10(5):e0127323.

Smith KC, John SD. Pediatric TB radiology for clinicians. San Antonio, TX: Heartland National TB Center; 2012.

Majdawati A. Uji diagnostic gambaran lesi foto thorax pada penderita dengan klinis tuberkulosis paru. Mutiara Medika. 2010;10(2):180–8.

Salwani D, Nasir UZ, Yunihastuti E, Harimurti K, Andriansjah A. Kemampuan gabungan gejala klinis dan pemeriksaan radiologis serta biakan MGIT 960 dalam diagnosis tuberkulosis paru pada pasien HIV. J Penyakit Dalam Indones. 2018;5(2):88–93.

Poluan AGA, Loho E, Ali RH. Hubungan gambaran fototoraks dan uji tuberkulin pada anak dengan diagnosis tuberkulosis paru di RSUP Prof. DR. R. D. Kandou Manado periode Januari 2012–Desember 2012. e-Clinic. 2014;2(1):3664.

Asik A, Hastuti EB, Evarini, editors. Petunjuk teknis manajemen dan tatalaksana TB anak. Jakarta: Direktorat Jenderal Pencegahan dan Pengendalian Penyakit Kementerian Kesehatan Republik Indonesia; 2016.

World Health Organization. Guidance for national tuberculosis programmes on the management of tuberculosis in children. 2nd Ed. Geneva: World Health Organization; 2014.

Manikkam S, Archary M, Bobat R. Chest X-ray patterns of pulmonary multidrug- resistant tuberculosis in children in a high HIV-prevalence setting. S Afr J Radiol. 2016;20(1):1–6.

Roya-Pabon CL, Perez-Velez CM. Tuberculosis exposure, infection and disease in children: a systematic diagnostic approach. Pneumonia (Nathan).2016;8:23.

Tao NN, Li YF, Liu YX, Liu JY, Song WM, Liu Y, et al. Epidemiological characteristics of pulmonary tuberculosis among children in Shandong, China, 2005–2017. BMC Infect Dis. 2019;19(1):408.

Pereira NMD. Clinical profile and outcome of children with tuberculosis in a tertiary care hospital in Mumbai, India. Sri Lanka J Child Health. 2019;48(4):338–44.

Mangtani P, Abubakar I, Ariti C, Beynon R, Pimpin L, Fine PEM, et al. Protection by BCG vaccine against tuberculosis: a systematic review of randomized controlled trials. Clin Infect Dis. 2014;58(4):470–80.

Gurning FP, Eliska E, Pratama MY. Analysis of factors related to the incidence of pediatric pulmonary tuberculosis in Sibuhuan General Hospital. Jurnal Berkala Epidemiologi. 2018;6(3):268–75.

Soekotjo FN, Sudarwati S, Alam A. Clinical profile of TB in children at Pediatric Outpatient Clinic Hasan Sadikin Hospital Bandung 2016. J Med Health. 2019;2(3):818–27.

Nguyen MVH, Levy NS, Ahuja SD, Trieu L, Proops DC, Achkar JM. Factors associated with sputum culture-negative vs culture-positive diagnosis of pulmonary tuberculosis. JAMA Netw Open. 2019;2(2):e187617.

Concepcion NDP, Laya BF, Andronikou S, Daltro PAN, Sanchez MO, Uy JAU, et al. Standardized radiographic interpretation of thoracic tuberculosis in children. Pediatr Radiol. 2017;47(10):1237–48.

DOI: https://doi.org/10.15850/amj.v8n4.2338