Diagnosing paediatric TB can be challenging due to non-specific signs and symptoms and difficulties in getting a microbiological confirmation. Diagnosis relies mainly on symptoms and chest X-ray (CXR), with hilar or mediastinal lymphadenopathy as the most common finding. However, CXR has poor inter- and intra-reader agreement for mediastinal lymphadenopathy. Ultrasound (US) does not expose children to ionizing radiation; is repeatable and due to the recent development of portable, low-cost US machines it can be used at the point of care and is cost-effective. We investigated clinician-performed mediastinal US, comparing with CXR, for the detection of lymphadenopathy in children with suspected pulmonary TB. Read More

Meeting name: SPR 2017 Annual Meeting & Categorical Course , 2017

Authors: Heuvelings Charlotte, Belard Sabine, Andronikou Savvas, Grobusch Martin, Zar Heather

Keywords: mediastinal, ultrasound, tuberculosis

Diagnosing pediatric pulmonary tuberculosis (PTB) may be challenging as getting microbiological confirmation is difficult. Chest X-Ray (CXR) involves radiation exposure and has poor inter-reader agreement. Mediastinal lymphadenopathy can also be detected by mediastinal ultrasound (US). We describe technical aspects of performing mediastinal US and the findings in children with suspected PTB. Read More

Meeting name: SPR 2017 Annual Meeting & Categorical Course , 2017

Authors: Heuvelings Charlotte, Belard Sabine, Andronikou Savvas, Grobusch Martin, Zar Heather

Keywords: Mediastinal Ultrasound, Technical aspects, Tuberculosis