Farhat Mirza, Muhammad Khalid, Nasir Saleem, Abdul Aziz.
Role of surgeon in children with tuberculosis.
J Surg Pak Jan ;7(1):14-5.

Tuberculosis is quite common in developing countries because of poverty and malnutrition. Extensive work has been done on pulmonary tuberculosis (PT) but local literature about extra pulmonary tuberculosis (EPTB) specially in children, is still lacking. This study was carried out to analyze the surgical cases of tuberculosis, specially in reference to system involvement and the results of treatment in children. During one year period 48 children were managed. Most were above 2 years with male predominance. Lymphnodes were involved in 18 (35.5%), bones in 17 (35.4%), joints in 08 (16.66%), skin in 05 (10.41 %), empyema thoracis in 03 (6.25%) lung abscess in 02 (4.16%), abdominal tuberculosis in 04 (2.08%), multiple abscess one (2.08%) and thyroid in one (2.08%) case. Eighteen (37.5%) patients received three antituberculous drugs, 30 (62.5%) received four drugs. Three (6.25%) patients did not respond to conventional antituberculous drugs, so they were given second line antituberculous drug. Surgical procedures performed include thoracotomy in 04, costotransversectomy in 03, laparotomy in 03, pneumonectomy in 01, incision and drainage of abscess in 02 cases and thyroid lobectomy in one patient. Two patients died, one with empyema thoracic and lung abscess, died per operatively while the other with tuberculous abdomen died preoperatively.

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