“Tuberculosis Infantil”

Abstract

The present clinical case is based on the study of a male patient of 1 year 2 months born in Tena and resident in Misahuallí who is referred from the Misahuallí health center to the José María Velasco Ibarra Hospital, Tena-Ecuador for a history of contact with tuberculosis; maternal great-grandfather diagnosed by sputum smear result in two positive crosses, the main reason why it was decided to enter the pediatric service of the José María Velasco Ibarra hospital to begin with a protocol for the study of pulmonary tuberculosis in children. Complementary tests, blood count, urinalysis, chest x-ray, polymerase chain reaction, Glomerular Sedimentation Rate, glucose, urea, creatinine, elementary and microscopic urine, plus gram, coproparasitic, rapid test of Human Immunodeficiency Virus were requested. The mother was taken while the infant had a gastric aspiration sample to perform smear culture and tubercle polymerase chain reaction according to the guidance protocol of the Ministry of Public Health of Ecuador.

Bacilloscopy was performed, culture for tubercle bacillus which reported negative while polymerase chain reaction the result was detected so that the antifungal treatment was established according to the protocol that governs the country. Subsequently, after completing the 2 phases of treatment with the 150 doses of antifungal treatment, the patient is discharged.