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- Title
Positive Mycobacterium tuberculosis Gastric Lavage Cultures from Asymptomatic Children With Normal Chest Radiography.
- Authors
Donald, Peter R; Ronge, Lena; Demers, Anne-Marie; Thee, Stephanie; Schaaf, H Simon; Hesseling, Anneke C
- Abstract
Mycobacterium tuberculosis culture from gastric lavage from apparently healthy children following tuberculin skin test conversion, despite normal chest radiography (CR), is well known but is a contentious subject. A consensus statement regarding classification of childhood tuberculosis excluded this condition, stating that more data were needed. To assist in this discussion, we reviewed early publications that reported the occurrence of this phenomenon and early anatomical pathology studies that described changes that occur in children following tuberculosis infection. Pathology studies describe frequent cavitation in primary foci in children from whom positive M. tuberculosis cultures might easily arise. These foci were very small in some children who might have normal CR. Positive cultures might also arise from ulcerated mediastinal lymph nodes that are invisible on CR. Young children with recent infection very likely have active primary pulmonary tuberculosis.
- Subjects
TUBERCULOSIS microbiology; TUBERCULOSIS diagnosis; CHEST X rays; MYCOBACTERIUM tuberculosis; GASTRIC lavage; TUBERCULIN test; MICROBIAL sensitivity tests
- Publication
Journal of the Pediatric Infectious Diseases Society, 2021, Vol 10, Issue 4, p502
- ISSN
2048-7193
- Publication type
Article
- DOI
10.1093/jpids/piaa113