Study about Tuberculous Lymphadenitis: Cases in children of Rural Area | Chapter 12 | Recent Developments in Medicine and Medical Research Vol. 15

 Introduction: Tuberculosis is India's most serious public health crisis, with approximately 500,000 people dying from the disease each year. The vast majority of instances occur in rural and semi-urban areas, which account for more than 80% of the country's population.

The purpose of this study is to look at the occurrence of tuberculous lymphadenitis in children who have been diagnosed at a rural medical college.

Materials and Procedures: The research was carried out at the S.R.T.R. Medical College in Ambajogi. The study included all instances of tuberculosis detected in children under the age of 12. In one year, 417 cases of tuberculosis were diagnosed in the research. The cases were then separated into two categories: pulmonary tuberculosis and extrapulmonary tuberculosis. There were 50 incidences of tuberculous lymphadenitis among the extrapulmonary TB cases. Fine Needle Aspiration Cytology or Histopathology were used to diagnose the cases. Each case's clinical record was examined, which included age, sex, nutritional condition, family history of tuberculosis patient contact, and BCG vaccination status. All of the children underwent a Mantoux test. All of the youngsters underwent a thorough clinical evaluation, including lymph node examinations. All of the children had their chests X-rayed and their abdomens USGed. The results were entered into Microsoft Excel and displayed using tables and graphs as needed.

The incidence of tuberculous lymphadenitis was found to be 11.99 percent. The age range 7-9 years had the highest number of cases (44 percent). 1.17:1 is the male-to-female ratio. Multiple, matted, enlarged cervical nodes were the most prevalent presenting complaints, with 30 percent of individuals having a clear family history of pulmonary TB and 64 percent having undergone BCG vaccination.

Conclusion: The incidence of tubercular lymphadenitis was 11.99 percent of all tuberculosis cases reported in the research, with cervical lymph node involvement being the most common. Tubercular lymphadenitis can affect both BCG-vaccinated and non-vaccinated people in the family.

Author(S) Details

R. E. Bhingare
Department of Paediatrics, Government Medical College, Aurangabad, Maharashtra, India.

P. B. Khaire
Department of Paediatrics, Government Medical College, Aurangabad, Maharashtra, India.

A. S. Parate
Department of Paediatrics, SRTR Medical College, Ambajogai, Maharashtra, India.

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