Diagnosis Of Pulmonary TB In Children Aged 13 Months?
I brought my child at 13 months of age BB 7.3 kg (yellow line KMS) I brought it to DSA, the doctor said that it was poor nutrition. Then order blood tests, LEDs and chest X-rays. The result is that doctors say leukocytes are rather high, HB is a little less, the rate of blood deposits is problematic / high, the lungs are dirty (lung infection or said to be called spots) As far as I know, spots are pulmonary TB. Is not a child can get TB if he often contacts with sufferers? Even though there is no TB at home, there are no smokers, my child is also rarely invited to play with people with long duration. But the doctor prescribed pulmonary TB patient’s medication, which must be treated 6 months in a row. I am afraid that my child is overdiagnosis, because so far he is not easily sick, active, only eats that are easily bored / picky either. The doctor also does not ask whether or not contact dg TB patients, also do not ask for Mantoux test to find out the bacteria that causes TBIs not the determination of pulmonary TB must meet the scoring to 6? And in my opinion, my child’s scoring is not up to 6 because it only has problems in eating weight problems, high leukocytes and chest X-rays. Should I bring a consultation to another pediatrician? Can my dirty lungs be called lung spots / TB?
Hello Elva, Thank you for the question.
Tuberculosis (TB) is an infection caused by the bacterium Mycobacterium tuberculosis that can occur in the lungs or other organs outside the lungs. TB can strike all ages, ranging from children, adults and the elderly. Pulmonary TB that occurs in children is often not easy to find because children may not have the typical symptoms of pulmonary TB in the form of symptoms of a long cough, more than 3 weeks. Therefore, to diagnose pulmonary TB in children there is a scoring system to estimate whether a child has pulmonary TB or not. The diagnosis is still the same step, namely an interview by a doctor, a doctor's physical examination, and followed by supporting examinations such as blood tests, x-rays, Mantoux tests. This scoring system includes the examination component (patient symptoms interview, physical examination, and supporting examinations). For contact TB problems, it doesn't have to be from someone who lives in the same house but it can also be someone else who happened to have contact with your baby. Mantoux tests don't always have to be done. If the other scoring results are positive and the summed up results are sufficient to diagnose TB, then the doctor can make the diagnosis. Dirty lungs are not a common medical language, but maybe the doctor's intention to convey this term is to inform that there is an infection in the lungs. Besides TB, underweight in children can also be caused by nutritional deficiencies and impaired food absorption. I'm sorry I can't give an opinion about the doctor's diagnosis for not doing an examination on your child.
My advice, if you are still unsure of the doctor's diagnosis, please consult with other pediatricians to bring the X-rays that have been made. The doctor will re-examine your child to determine the cause. If it is caused by TB then the doctor will give antituberculosis drugs for at least 6 months. If caused by other conditions, the handling will be adjusted to the cause.
Please keep maintaining nutritious food intake for your child. Keep your child away from people who are sick. Get used to always maintain the cleanliness of your hands and others who take care of your child.
I hope this helps.