[Clinical and epidemiological features of tuberculosis ostitis in BCG-vaccinated children].

N G Kamaeva, Iu P Chugaev, L M Grinberg, N A Anisimova, T V Golubeva, E Iu Kamaev
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Abstract

There has been a drastic increase in the incidence of ostitis in children since 2001. Comparison of current tuberculous ostitis (n = 70) and primary pulmonary tuberculosis (n = 60) in infants revealed significant clinical and epidemiological differences. Molecular genetic methods identified BCG M. bovis strain DNA in 13 (46.4%) intraoperative samples and 4 samples of obtained cultures from bone destruction foci. Isolation of BCG cultures and/or verification of BCG M. ovis DNA from the bone lesion focus by polymerase chain reaction is a significant criterion for verification of the BCG etiology of ostitis having a morphological pattern of productive necrotic tuberculosis in children.

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[bcg接种儿童结核性口炎的临床及流行病学特征]。
自2001年以来,儿童的口炎发病率急剧上升。新生儿结核性口炎(n = 70)与原发性肺结核(n = 60)的临床和流行病学差异显著。分子遗传学方法在13例(46.4%)术中样本和4例骨破坏灶培养样本中鉴定出牛卡介苗菌株DNA。分离卡介苗培养物和/或通过聚合酶链反应从骨病变灶中验证卡介苗的DNA是验证卡介苗病因学中具有产性坏死性结核形态的儿童口炎的重要标准。
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[Vaccine prophylaxis of tuberculosis: implication and problems]. [Prevalence of tuberculosis among children and adolescents in the Russian Federation: analysis of official statistics]. [Analysis of the rates of infection and incidence of tuberculosis in children from a poor epidemic-situation area in 2001 to 2006]. [Clinical and epidemiological features of tuberculosis ostitis in BCG-vaccinated children]. [Detection of tuberculosis in Moscow adolescents].
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