LAO HẠCH NGOẠI BIÊN Ở TRẺ EM TẠI KHOA NHI BỆNH VIỆN PHỔI TRUNG ƯƠNG

Abstract

Objectives: (1) To describe the clinical and subclinical characteristics of peripheral lymph node tuberculosis in children at the National Lung Hospital from 2017 to 2020. (2) To initially assess the treatment results of peripheral lymph node tuberculosis in children at the National Lung Hospital from 2017 to 2020. Research methodology: A cross-sectional prospective study among 78 children from 15 years and younger diagnosed with peripheral lymph node tuberculosis and treated as inpatients at the Pediatrics Department - National Lung Hospital from 2017 to 2020. Results: The disease occurred mainly in children over 5 years old, the group from 10-15 years old was the most common (43.6%). The most common diagnoses of previous treatment units were lymphadenitis (47.4%) and lymphadenopathy (35.9%). Common symptoms of lymph node tuberculosis in children were fatigue/poor play (76.9%) and weight loss/no weight gain (75.6%); the main location was the cervical lymph nodes (68 among 78 patients) and the majority were diagnosed when the lymph nodes had not yet ruptured (79.5%). The diagnosis of lymph node tuberculosis in children with bacterial evidence accounts for 38.5%; with tissue evidence of tuberculosis lesions accounts for 92.9%. There were 50 among 78 patients (64.1%) with simple lymph node tuberculosis and 28 among 78 patients (35.9%) with tuberculosis in Lymph node and other organs. The treatment results of tuberculosis lymph nodes showed a successful treatment rate of 96.3% (of which 100% were in the group with bacterial evidence and 92.9% were in the group without bacterial evidence.