Determination Of Tuberculosis Diagnosis In Children Aged 22 Months?
Good afternoon, May 2019 my son Mantoux test up to 2x (when he was 14 months old) Mantoux test because my son had difficulty eating and his BB had not gone up for 4 months The result was negative pediatricians love vit iron at that time, 3 months later still no change in weight did not go up .Due 17 months I took my child to another doctor. The second pediatrician checked urine results normal advice milk, 1 month later riding his bb 2onsUnder 18 months my child was diagnosed with pneumonia then hospitalized 5 days. After being sick, his bb didn’t go up until now 22 months old … again to the second doctor Then check the complete urine, check the complete blood, X-ray front and side..he was given vit iron and appetite enhancerIve given that his food became hungrily..Tp the day after reading the lab results and my son’s x-ray was diagnosed with lung spots = TB the doctor and must take the medicine for 2 months 3 types of concoction drugs. If in 1 month bb his child goes up and eat normally the drug can be stopped … so I was surprised when the Mantoux test was right tif ko now so positive even though only check blood, urine and x-rays The question1. Can it be accurately seen from the x-ray results? 2. Is the value of LED 15 on the blood check results can also be used as a reference for TB sick children? 3. Isn’t it if a TB child takes the medicine for 6 months? How come my child is 2 months old even if 1 month of bb has already taken medicine can be stopped.4. Please advise if I should bring the results of blood, urine and x-ray checks to another pediatrician to confirm the diagnosis? Please answer the doctor … thank you
Hello, thank you for the question to HealthReplies.com
Basically the diagnosis of tuberculosis in children is more complicated than the diagnosis of tuberculosis in adults because the symptoms that appear in children may not be typical. Therefore the diagnosis of tuberculosis in children must use the tuberculosis scoring system. The following are scoring points that you can pay attention to:
Assessment with the scoring system above can only be done by a doctor who examines your child directly. Children can be diagnosed with tuberculosis if a score of more than 6. As you can see, the results of X-ray examination alone cannot be used for the diagnosis of pediatric tuberculosis. Even if the results are suggestive of tuberculosis, only 1 point is obtained and for the diagnosis of tuberculosis other points must be seen.
You should try to bring all the results of the examination to another pediatrician to confirm your child's diagnosis. We also do not know clearly why your pediatrician is giving tuberculosis drugs for only 1 month (or whether indeed it is given antituberculosis drugs or other drugs). If possible, try to get a summary of medical records from your pediatrician's clinic beforehand to be taken also to other pediatricians.
So much information from me, hopefully enough answer