Value of bronchoalveolar lavage and gastric lavage in the diagnosis of pulmonary tuberculosis in children

1995 ◽  
Vol 76 (4) ◽  
pp. 295-299 ◽  
Author(s):  
N. Somu ◽  
S. Swaminathan ◽  
C.N. Paramasivan ◽  
D. Vijayasekaran ◽  
A. Chandrabhooshanam ◽  
...  
2005 ◽  
Vol 58 (5-6) ◽  
pp. 231-235 ◽  
Author(s):  
Slobodanka Petrovic

Introduction The aim of this study was to find out if bronchoalveolar lavage (BL) is better than gastric lavage (GL) or sputum (SP) examination for isolation of Mycobacterium tuberculosis in childhood pulmonary tuberculosis. Material and methods The study included a group of 30 children with suspected pulmonary tuberculosis, aged 6 months to 18 years. Gastric lavage was done on 4 consecutive mornings after overnight fast. Sputum was examined in 12 patients older than 10 years, (4 consecutive samples). BL was performed on the same day as the last GL and SP, using a rigid bronchoscope. Specimens were examined for the existence of BL acid fast bacilli (AFB) and culture for Mycobacterium tb. Results Out of 30 cases, Mycobacterium tb was grown in 13 BL samples (43.33%), and in 10 GL samples from the same patients (33.33%). Comparative analysis of microbiological samples of sputum and bronchoalveolar lavage fluid in 12 children showed that 6 patients had SP+ cultures and 6 patients had SP-cultures of Mycobacterium tb. All SP+ patients where also BL+, but 1 SP- patient was BL+. Smear examination of BL fluid samples was positive for AFB in 10 patients with positive cultures for Mycobacterium tb. Conclusion The results of our study indicate that BL examination is better than GL and SP examination for bacteriological diagnosis of childhood tuberculosis. .


2013 ◽  
Vol 13 (1) ◽  
Author(s):  
Marta Ruiz Jiménez ◽  
Sara Guillén Martín ◽  
Luis M Prieto Tato ◽  
Juana B Cacho Calvo ◽  
Ana Álvarez García ◽  
...  

2010 ◽  
Vol 56 (6) ◽  
pp. 458-459 ◽  
Author(s):  
E. L. Maciel ◽  
R. Lyrio Peres ◽  
T. N. do Prado ◽  
C. R. Macedo ◽  
M. Palaci ◽  
...  

2011 ◽  
Vol 78 (11) ◽  
pp. 1429-1430 ◽  
Author(s):  
Umar Amin Qureshi ◽  
Ashok K. Gupta ◽  
Bella Mahajan ◽  
Mariya Amin Qurieshi ◽  
Uruj Altaf ◽  
...  

2014 ◽  
Vol 42 (1) ◽  
pp. 21-24 ◽  
Author(s):  
T Karim ◽  
MSA Quarashi ◽  
MA Rahman

Pulmonary tuberculosis may be easily confused with other chest diseases during its initial presentation. This study was carried out to identify presenting clinical and laboratory features that differentiate pulmonary tuberculosis from other diseases and to correlate clinical features and radiological findings. This study was conducted in department of pediatrics and Radiology in Bangabandhu Sheikh Mujib Medical University and Dhaka Shihsu Hospital from July 2005 to June 2006. A total fifty Children below 18 were included in the study after being clinically diagnosed as pulmonary tuberculosis. These patients were subjected to detailed history and, clinical examination. Each patient was evaluated by blood CBC, ESR, Mantoux test, Chest X-ray posterior anterior/lateral view, BCG test and gastric lavage. Statistical analysis was performed by SPSS 8 computer program. Fever, cough, weight loss, night sweats and raised ESR were the most common findings in PTB children. No correlation was found between clinical and laboratory parameters in establishing a confident diagnosis of the disease. The study highlights the importance of further research to pinpoint stronger and more reliable criteria for diagnosis. DOI: http://dx.doi.org/10.3329/bmj.v42i1.18974 Bangladesh Med J. 2013 Jan; 42 (1): 21-24


2017 ◽  
Vol 15 (11-12) ◽  
pp. 286
Author(s):  
Gunadi Santosa

1. A definite diagnosis of tuberculosis can only be established on the basis of the finding of the tubercle bacilli.2. The isolation of the mycobacterium tuberculosis from a child is subject to difficulties:a. the necessity of gastric lavage for 3 consecutive days, which is difficult to perform ambulatory.b. the necessity of the proper facilities of a microbiologic laboratory.c. the outcome is often not sufficiently high.3. It is concluded that at the moment making of the bacteriological diagnosis of child tuberculosis is not practical, so that we are forced to depend on the clinical diagnosis.4. The tuberculin test is very important in establishing the diagnosis. It is recommended to perform this test routinely on every child once a year and also that every medical doctor as well as specialist performs this test to detect a case of TBC at the earliest possible moment.


1988 ◽  
Vol 20 (1) ◽  
pp. 77-80 ◽  
Author(s):  
Eva Norrman ◽  
Timo Keistinen ◽  
Monica Uddenfeldt ◽  
Per-Olof Rydström ◽  
Rune Lundgren

2021 ◽  
Vol 2021 (6) ◽  
Author(s):  
Bryan Vonasek ◽  
Tara Ness ◽  
Yemisi Takwoingi ◽  
Alexander W Kay ◽  
Susanna S van Wyk ◽  
...  

Sign in / Sign up

Export Citation Format

Share Document