Clinical and Experimental Pediatrics

The Korean Pediatric Society (대한소아청소년과학회)
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Three cases of pulmonary and/or intestinal tuberculosis in adolescents

청소년의 폐 및 폐외 결핵 3례

  • Byeon, Jung Hye (Department of Pediatrics, College of Medicine, Korea University) ;
  • Lee, Yoon (Department of Pediatrics, College of Medicine, Korea University) ;
  • Lee, Jin Chul (Department of Pediatrics, College of Medicine, Korea University) ;
  • Yoo, Young (Department of Pediatrics, College of Medicine, Korea University) ;
  • Lee, Kee Hyoung (Department of Pediatrics, College of Medicine, Korea University) ;
  • Lee, Kwang Chul (Department of Pediatrics, College of Medicine, Korea University) ;
  • Choung, Ji Tae (Department of Pediatrics, College of Medicine, Korea University) ;
  • Ham, Soo Youn (Department of Radiology, College of Medicine, Korea University) ;
  • Kim, Chul Whan (Department of Pathology, College of Medicine, Korea University)
  • 변정혜 (고려대학교 의과대학 소아과학교실) ;
  • 이윤 (고려대학교 의과대학 소아과학교실) ;
  • 이진철 (고려대학교 의과대학 소아과학교실) ;
  • 유영 (고려대학교 의과대학 소아과학교실) ;
  • 이기형 (고려대학교 의과대학 소아과학교실) ;
  • 이광철 (고려대학교 의과대학 소아과학교실) ;
  • 정지태 (고려대학교 의과대학 소아과학교실) ;
  • 함수연 (고려대학교 의과대학 영상의학교실) ;
  • 김철환 (고려대학교 의과대학 병리학교실)
  • Received : 2007.09.04
  • Accepted : 2007.10.26
  • Published : 2007.11.15
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Abstract

Since the tuberculosis (TB) in adolescents has unique clinical characteristics, special attention should be paid to this age group. Adolescents are more susceptible to developing TB disease and more likely to have cavitary pulmonary disease. Also, adolescent patients with TB more frequently present with extrapulmonary disease. We report three adolescents with active pulmonary and/or intestinal TB: one had pulmonary and intestinal TB, another had a pulmonary TB, and the third exclusively had an intestinal TB. Diagnosis was confirmed by pathologic examination of the lung and/or intestines. All three patients were treated successfully without complication. A brief review of the literature has been included.

최근 결핵 유병률이 청소년기에 다시 증가하고 있으며, 이 시기의 결핵은 성인이나 어린 소아와는 다른 임상적 특징을 가지고 있다. 결핵 감염에서 질병으로 쉽게 발전되거나, 폐외 결핵의 발생 빈도가 높고, 폐결핵에서 공동이 잘 생기며, 항결핵제에 내성이 있는 경우가 많아 치료실패율이 높기 때문에 조기 진단과 치료를 위해 의료진의 보다 적극적인 관심과 노력이 필요하다. 저자들은 최근 청소년에서 조직검사로 확진된 폐 및 폐외 결핵 3례를 경험하였기에 보고하는 바이다.

Keywords

References

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