UROGENITAL DISORDERS IN CHILDREN ILL WITH TUBERCULOSIS
https://doi.org/10.21292/2075-1230-2018-96-2-36-40
Abstract
Objective: to evaluate the structure of clinical forms of tuberculosis and other concurrent conditions in children with urogenital disorders in order to improve the management tactics for such patients 1165 children in the age from 0 to 14 years old were enrolled into the study, Group 1 included children with urogenital disorders (n = 157), and Group 2 included children with no urogenital disorders (n = 1,008) In Group 1, urogenital infections were documented in 204% of children, pyelonephritis in 318%, dysmetabolitic nephropathy in 38%; renal cyst in 32%; glomerulonephritis in 25%; renal abnormality in 127%, vesicoureteral reflux in 57%, rickets-like diseases in 06%, vulvovaginitis in 57%, phymosis in 153%, synechia in 38%, varicocele in 13%, monorchia in 06%, ovarian cyst in 06%, and menstrual disorders in 19% Respiratory tuberculosis was less common among the children from Group 1 (701 and 892%; χ2 = 40545, p = 0000), while extrapulmonary tuberculosis prevailed (178 and 55%; χ2 = 29612, p = 0000) Except urogenital disorders, the concurrent conditions were equally frequent among the children from Groups 1 (803%) and 2 (806%) (χ2 = 0000, p = 0984) Urogenital disorders were confidently more often combined with blood circulation disorders and endocrine pathologies Thus, children with urogenital disorders more often developed extrapulmonary forms of tuberculosis or combinations of pulmonary and extrapulmonary forms Urogenital disorders in children ill with tuberculosis were more often combined with blood circulation disorders and endocrine pathology.
About the Authors
M. A. RomаnovаRussian Federation
Assistant of Phthisiology and Phthisiosurgery Department
A. V. Mordyk
Russian Federation
Head of Phthisiology and Phthisiosurgery Department
O. G. Ivаnovа
Russian Federation
Associate Professor of Phthisiology and Phthisiosurgery Department
A. A. Turitsа
Russian Federation
Associate Professor of Department for Propaedeutics of Children Diseases with Training Course of Polyclinic Pediatrics
E. A. Merko
Russian Federation
Specialized Children Tuberculosis Clinical Hospital, Head of Statistics and Reporting Unit
References
1. Grigorieva O.P., Savenkova N.D., Lozovskaya M.E. Specific course of renal pathology in children infected with tuberculosis. Pediatr, vol. 4, no. 2, pp. 89-96. (In Russ.)
2. Grigorieva O.P., Savenkova N.D., Lozovskaya M.E. Renal pathology in the children infected with tuberculosis (literature review). Nephrologiya, 2013, vol. 17, no. 6, pp. 55-69. (In Russ.)
3. Kulchavenya E.V., Zhukova I.I. Extrapulmonary tuberculosis – more questions than answers. Tuberculosis and Lung Diseases, 2017, vol. 95, no. 2, pp. 59-63. (In Russ.)
4. Kulchavenya E.V., Krasnov V.А., Mordyk А.V. Аlmanakh vnelegochnogo tuberkuleza. [Almanac of extrapulmonary tuberculosis]. Novosibirsk, Sibprint Publ., 2015, 247 p.
5. Mordyk А.V., Puzyreva L.V., Desenko А.S., Rusanova N.N. Tuberculosis of central nervous system and meninges in Omsk Region for 2009-2012. Meditsina i Obrazovanie v Sibiri, 2013, no. 5, pp. 10. (In Russ.)
6. Mordyk А.V., Tsygankova E.А., Podkopaeva T.G., Puzyryova L.V., Turitsa А.А. Risk factors of active tuberculosis development in children (literature review).
7. Zhizn bez opasnostey. Zdorovye. Profilaktika. Dolgoletie, 2014, vol. 9, no. 1, pp. 92-95. (In Russ.)
8. Mordyk А.V., Yakovleva А.А., Nikolaeva I.N., Leontyev V.V. Criticality of extrapulmonary tuberculosis issue under current epidemiological conditions. Tikhookeansky Meditsinsky Journal, 2015, no. 3 (61), pp. 19-21. (In Russ.)
9. Puzyreva L.V., Safonov А.D., Lebedev O.I., Mordyk А.V. Ocular tuberculosis. Vestnik Oftalmologii, 2016, vol. 132, no. 3, pp. 103-107. (In Russ.)
10. Turitsa А.А., Velichko K.А., Baryshnikova D.V., Ivanova O.G., Mordyk А.V.
11. Renal pathology in children infected with tuberculous mycobacteria Tuberculosis and Lung Diseases, 2015, no. 7, pp. 140 (In Russ.)
Review
For citations:
Romаnovа M.A., Mordyk A.V., Ivаnovа O.G., Turitsа A.A., Merko E.A. UROGENITAL DISORDERS IN CHILDREN ILL WITH TUBERCULOSIS. Tuberculosis and Lung Diseases. 2018;96(2):36-40. (In Russ.) https://doi.org/10.21292/2075-1230-2018-96-2-36-40