8.3 Clinical spectrum of childhood TB

exp date isn't null, but text field is

8.3.1 Symptom criteria for PTB

  • Persistent, non-remitting cough for >2 weeks not responding to conventional antibiotics (amoxicillin, co-trimoxazole or cephalosporins) and/or bronchodilators

and/or

  • Persistent documented fever (>38oC/100.4oF) for >2 weeks where common causes such as typhoid, malaria or pneumonia have been ruled out

and/or

  • Documented weight loss or no weight gain during the past 3 months (especially if not responding to de-worming together with food and/or micronutrient supplementation) OR severe malnutrition

and/or

  • Fatigue, reduced playfulness, decreased activity, irritability, refusal to feed etc.

Any one of the above symptom criteria in a child (<15 years) in close contact with a known bacteriologically confirmed TB or clinically confirmed TB should be regarded as presumptive TB case and referred to a physician for evaluation.

8.3.2 Extra-pulmonary TB: Signs and symptoms

Common EPTB in children-

  • Tubercular lymphadenopathy
  • TB pleural/pericardial effusion
  • Tubercular meningitis
  • Spinal TB (Pott’s disease)
  • Abdominal TB
  • Tubercular arthritis

8.3.3 Symptoms and signs suggestive of EPTB