title: Prevalence of tuberculous lymphadenitis in children in Wardha district, Maharashtra State, India.
abstract: METHODS
  Rural area of Wardha district, Maharashtra State, Central India.
  
  
  OBJECTIVE
  To determine the prevalence of tuberculous lymphadenitis in children aged 0-14 years in the study area and to assess factors that may contribute towards the prevalence.
  
  
  METHODS
  House to house survey of a population of 23,229 in 35 neighbouring villages with 7900 children aged 0-14 years from May 1993 to May 1994 and from March 1995 to February 1996.
  
  
  RESULTS
  The prevalence of tuberculous lymphadenitis/1000 children was 4.43. The maximum prevalence was in the 5-9 years age group. The prevalence was 34 times higher in children with positive family history of tuberculosis than in those without a history. There was an association between prevalence and the living standards of the children, with a higher prevalence in families that belonged to an underprivileged social class living in thatched, improvised houses. Multiple cervical lymph nodes >2 cm and with matting and fluctuation were found to be characteristic clinical features.
  
  
  CONCLUSIONS
  The prevalence of peripheral lymphadenopathy was 27.2/1000 children and that of tuberculous lymphadenitis was 4.43/1000. Positive history of contact in the family was a significant epidemiological indicator of tuberculous glands.
authors.affiliation: Department of Microbiology, Mahatma Gandhi Institute of Medical Sciences, Sevagram, Maharashtra, India. rxnarang@yahoo.com
authors.forename: P
authors.initials: P
authors.lastname: Narang
authors.forename: R
authors.initials: R
authors.lastname: Narang
authors.forename: R
authors.initials: R
authors.lastname: Narang
authors.forename: D K
authors.initials: DK
authors.lastname: Mendiratta
authors.forename: S M
authors.initials: SM
authors.lastname: Sharma
authors.forename: N K
authors.initials: NK
authors.lastname: Tyagi
mesh_terms: D000293:Adolescent; D002648:Child; D002675:Child, Preschool; D003625:Data Collection; D005260:Female; D006801:Humans; D007194:India / Q000453:epidemiology; D007223:Infant; D007231:Infant, Newborn; D008297:Male; D015995:Prevalence; D012959:Socioeconomic Factors; D014376:Tuberculosis / Q000635:transmission; D014388:Tuberculosis, Lymph Node / Q000453:epidemiology*