https://scholars.lib.ntu.edu.tw/handle/123456789/554003
標題: | Computed tomography of children with pulmonary Mycobacterium tuberculosis infection | 作者: | STEVEN SHINN-FORNG PENG Chan P.-C. YEUN-CHUNG CHANG TIFFANY TING-FANG SHIH |
公開日期: | 2011 | 卷: | 110 | 期: | 12 | 起(迄)頁: | 744-749 | 來源出版物: | Journal of the Formosan Medical Association | 摘要: | Surveillance and control of tuberculous infection in pediatric patients, especially in those with a contact history, is important to prevent tuberculous infection in the general population. Totally 26 patients, younger than 14 years of age, who had a diagnosis of pulmonary Mycobacterium tuberculosis (TB), underwent both chest radiographs and computed tomography (CT), which were retrospectively reviewed and compared with those of 20 patients with community-acquired bacterial pneumonia (CABP). TB patients were commonly afebrile and had less cavitating lesions or pleural fluid than CABP patients had. Focal or sub-segmental lung opacities suggested the diagnosis of TB than of CABP. Chest CT could also help to identify enlarged, calcified, necrotic mediastinal lymph nodes, which are less frequently found in CABP and frequently obscured by thymic shadows on chest radiographs of children. Low-dose CT for children or infants suspected to have pulmonary TB infection could help to make the decision of further antibiotic treatment. ? 2011. |
URI: | https://scholars.lib.ntu.edu.tw/handle/123456789/554003 | ISSN: | 0929-6646 | DOI: | 10.1016/j.jfma.2011.11.003 | SDG/關鍵字: | adolescent; child; clinical article; community acquired pneumonia; computer assisted tomography; controlled study; female; human; lung tuberculosis; male; mediastinum lymph node; medical record review; Mycobacterium tuberculosis; pleura fluid; preschool child; review; school child; thorax radiography; Adolescent; Child; Child, Preschool; Community-Acquired Infections; Female; Humans; Infant; Male; Pneumonia, Bacterial; Radiography, Thoracic; Tomography, X-Ray Computed; Tuberculosis, Pulmonary |
顯示於: | 醫學院附設醫院 (臺大醫院) |
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