Relationship of specific and non-specific inflammation in children with respiratory tuberculosis and chronic lung diseases

Author:

Nakonechnaya S. L.1ORCID,Aksenova V. A.2ORCID,Mizernitskiy Yu. L.3ORCID

Affiliation:

1. National Medical Research Center of Phthisiopulmonology and Infectious Diseases under the Ministry of Health of Russia

2. National Medical Research Center of Phthisiopulmonology and Infectious Diseases under the Ministry of Health of Russia; Sechenov First Moscow State Medical University (Sechenov University)

3. Veltischev Research and Clinical Institute for Pediatrics at the Pirogov Russian National Research Medical University

Abstract

The problem of  the combination of  tuberculosis and chronic nonspecific diseases of  the bronchopulmonary system in  children and adolescents has not been sufficiently studied to date and remains relevant.Purpose. The study aims at determination of predictors of tuberculosis infection to identify groups at high risk of developing tuberculosis among children with chronic nonspecific pathology.Materials and research methods. A prospective study of children and adolescents (n = 158) with isolated respiratory tuberculosis and its combination with various forms of chronic obstructive pulmonary disease (lung defects, chronic bronchitis, bronchial asthma) was conducted. These two groups were compared in respect of the medical history and physical examination data, as well as computed tomography findings.Results. The predictors of the development of tuberculosis included cases of pneumonia at an early age, acute respiratory infections 3 or more times a year, and the early age of children infected with Mycobacterium tuberculosis.Conclusion. These conditions increase the risk of developing active tuberculosis in children and cause its more severe course. In addition, chronic nonspecific lung diseases associated with tuberculosis often complicate the course of a specific process and are often characterized by recurrent attacks. 

Publisher

The National Academy of Pediatric Science and Innovation

Subject

Pediatrics, Perinatology and Child Health

Reference9 articles.

1. Mokhnachevskaya A.I., Aksenova V.A. The structure of the combination of chronic nonspecific lung diseases and respiratory tuberculosis in children and adolescents. Bjulleten’ VSNC SO RAMN 2011; 2(78): 71-74. (in Russ.)

2. Asherova I.K., Mizernitsky Yu.L., Korsunsky A.A. Clinical efficacy of treatment and dispensary observation of children with respiratory diseases in the conditions of the regional respiratory center (Experience of the children’s respiratory center in Yaroslavl). In the book: Mizernitsky Yu.L., Tsaregorodtsev A.D., Korsunsky A.A Organization of the work of a modern pediatric pulmonology center. M, 2008; 27-53. (in Russ.)

3. Rozinova N.N., Kovalevskaya M.N., Shmelev E.I., Zakharov P.P. Age evolution of chronic lung diseases: children, adolescents, adults. Pediatric pulmonology: problems and solutions. Editors Yu.L. Mizernitsky, A.D. Tsaregorodtsev. M., 2003; 111- 113. (in Russ.)

4. Aksenova V.A. Tuberculosis of the respiratory organs and chronic nonspecific lung diseases. Chronic lung disease in children. Editors N.N. Rozinova, Yu.L. Mizernitsky. M: Practice, 2011; 189-194. (in Russ.)

5. Bogorad A.E., Aksenova V.A., Mizernitsky Yu.L., Rozinova N.N., Kostyuchenko M.V. Difficulties in diagnosing tuberculosis in a child with chronic nonspecific lung disease. Zemskij vrach 2011; 4(8): 36-38. (in Russ.)

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