Tuberculous pericarditis in adolescents: A case series

Paediatrica Indonesiana

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Title Tuberculous pericarditis in adolescents: A case series
Creator Paramitha, Winda
Murni, Indah Kartika
Arguni, Eggi
Setyowireni, Dwikisworo
Description Tuberculosis (TB) is one of the major causes of childhood mortality, especially in endemic areas. In 2013, the World Health Organization (WHO) estimated 550,000 new cases and 80,000 deaths due to TB among children. Around 70-80% of the cases were pulmonary TB, while the rest were extra-pulmonary TB.1
Tuberculous pericarditis accounts for only 8% of all TB cases, however, tuberculosis is the main cause of pericarditis in high-TB-burden countries, including Indonesia.2 The mortality rate reached 17-40% and is affected by treatment adequacy.3 Without adequate therapy, the mean life expectancy is 3.7 months, with only 20% surviving to the sixth month.4 A 2004 study reported that successful treatment of TB in children depends on several factors, such as treatment compliance, timing and accuracy of diagnosis, concurrent human immunodeficency virus (HIV) infection and its clinical stage of disease, malnutrition, and drug resistance.5 Adolescents and young adults are at the highest risks of having TB.6 We report here on three cases of tuberculous pericarditis in adolescents and their outcomes following pericardiocentesis and medication.
Publisher Indonesian Pediatric Society
Date 2020-02-25
Type info:eu-repo/semantics/article
Format application/pdf
Source Paediatrica Indonesiana; Vol 60 No 2 (2020): March 2020; 111-6
Language eng
Rights Copyright (c) 2020 Winda Paramitha, Indah Kartika Murni, Eggi Arguni, Dwikisworo Setyowireni

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