TB In Children Aged 21 Months?
السَّلاَمُ عَلَيْكُمْ وَرَحْمَةُ اللهِ وَبَرَكَاتُهُ Good evening, please enlighten me .. My child is 21 months old, BB drags up, when the consul goes to DSA, initially given vitamins and asked to improve his diet, but still his blood pressure is asked, he finally asked for an increase, my body weight was asked to go up, finally he was asked to improve, my body was finally asked for an improvement, my blood pressure was up, my body was finally asked for improvement blood test, dsa concluded to continue the mantoux test, because there was suspected TB, ok we as parents who do not understand just say yes. 3 days after Mantoux, we returned to the dsa, and after observing, dsa concluded that our child was positive for TB. If based on what we read, it is concluded that there are indurations if there are lumps that are hardened (similar to biduran) that are measured to conclude whether it is positive or negative TB. If the results of our child’s mantoux are only red, even if touched, they are not bulging. As a layman, we are confused, so quickly give a diagnosis like that, we who only get knowledge from googling actually still have not received the diagnosis. Because with the age of our children who are still very very small, if negative but we do not understand, and have to take medication that has side effects to my horror. Finally, we took the initiative to carry out the IGRA test, to ascertain whether it was indeed positive for TB or not. Our question is, can TB symptoms in children the same age as our children be easily detected with mantoux tests and X-rays?
Hello Dewanta, thank you for using the HealthReplies.com service.
Pulmonary tuberculosis is a bacterial infection of the Mycobacterium tuberculosis of the lungs. Children are more prone to contracting the TB bacteria but the child pulmonary TB does not show specific symptoms such as adult pulmonary TB so it is rather difficult to diagnose, sometimes some are asymptomatic, but then as they get older, new TB symptoms will appear.
The exact diagnosis of TB is made by the discovery of bacterial M. tuberculosis on examination of sputum or other fluids. For simplicity, IDAI recommends diagnosing TB in children using a scoring system, which is a weighting of the symptoms or clinical signs that are found, as shown in the following table.
X-rays in children are sometimes less sensitive for diagnosing TB. A check that is often checked and is more sensitive is the Mantoux test. Mantoux test results are positive if a lump is formed with a diameter of more than 5 mm. Mantoux tests are only one of the ratings from the above scoring. Chances are the doctor has checked and got a score of more than or equal to 6 on your child's scoring so that it is diagnosed with TB. If TB is not handled properly, bacteria can spread to other parts of the body, such as the spine, kidneys, and even the brain.
If you still need more information about your child's condition, I suggest you bring the IGRA results and consult your pediatrician beforehand or you also have the right to get a second opinion from another pediatrician if necessary.
Such information that I can provide, hopefully can help you.