期刊名称:The Journal of Health, Population and Nutrition
印刷版ISSN:1606-0997
电子版ISSN:2072-1315
出版年度:2013
卷号:31
期号:3
页码:308-313
出版社:International Centre for Diarrhoeal Disease Research Bangladesh
摘要:Presentation of pulmonary tuberculosis (PTB) as acute pneumonia in severely-malnourished and HIVpositive children has received very little attention, although this is very important in the management of pneumonia in children living in communities where TB is highly endemic. Our aim was to identify confirmed TB in children with acute pneumonia and HIV infection and/or severe acute malnutrition (SAM) (weight-for-length/height or weight-for-age z score M. tuberculosis were identified respectively. Children from South Africa were infected with HIV without specification of their nutritional status whereas children from other countries had SAM but without indication of their HIV status. Our review of the existing data suggests that pulmonary tuberculosis may be more common than it is generally suspected in children with acute pneumonia and SAM, or HIV infection. Because of the scarcity of data, there is an urgent need to investigate PTB as one of the potential aetiologies of acute pneumonia in these children in a carefully-conducted larger study, especially outside Africa.
关键词:Acute pneumonia; Children; HIV; Severe malnutrition; Tuberculosis