[Primary tuberculous infection. Current aspects in imaging. Apropos of 14 cases].
Active pulmonary tuberculosis, a source of contamination, is currently undergoing a recrudescence in developed countries, particularly in clinical contexts of immunodepression. The authors report a retrospective series of 14 cases of primary tuberculosis in a paediatric population (7 girls and 7 boys) with a mean age of 3.5 years (range: 4 months-16 years) observed over a 3-year period. After reviewing the current radiological features of patent primary tuberculosis, the authors emphasize the contribution of chest CT scan in latent forms with a normal chest x-ray and a difficult bacteriological diagnosis. Imaging remains an essential tool in early diagnosis, therapeutic management and active surveillance of this form. The authors propose a decisional flow-chart in the case of suspected primary tuberculosis in children.
Ouzidane
L
L
Service de Radiologie, Hôpital Saint-Vincent de Paul, Paris.
Adamsbaum
C
C
Cohen
P A
PA
Kalifa
G
G
Gendrel
D
D
D000293:Adolescent; D000995:Antitubercular Agents / Q000627:therapeutic use; D002648:Child; D002675:Child, Preschool; D005260:Female; D006801:Humans; D007223:Infant; D008297:Male; D008991:Monitoring, Physiologic; D012189:Retrospective Studies; D014057:Tomography, X-Ray Computed; D014388:Tuberculosis, Lymph Node / Q000150:complications / Q000000981:diagnostic imaging* / Q000188:drug therapy; D014397:Tuberculosis, Pulmonary / Q000150:complications / Q000000981:diagnostic imaging* / Q000188:drug therapy
D000995:Antitubercular Agents
Primo-infection tuberculeuse. Aspects actuels en imagerie. A propos de quatorze cas.