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Published in: BMC Pulmonary Medicine 1/2020

Open Access 01-12-2020 | Isoniazid | Case report

Hepatitis in children with tuberculosis: a case report and review of the literature

Authors: Maria Sanchez-Codez, W. Garret Hunt, Joshua Watson, Asuncion Mejias

Published in: BMC Pulmonary Medicine | Issue 1/2020

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Abstract

Background

Hepatitis in young children with tuberculosis (TB) outside miliary TB is not well described and represents a challenge because of the hepatotoxicity associated with first-line anti-TB treatment.

Case presentation

We report an antibiotic naïve 13-month-old male from Nepal with pulmonary TB and hepatitis, who improved after TB treatment. We also performed a literature review for TB-associated hepatitis in children.

Conclusions

Liver function tests should be considered, when feasible, in infants and young children with pulmonary TB. Testing could help to identify and manage patients with TB-associated hepatic abnormalities, and also to establish a baseline for detection and management of liver injury associated with anti-TB therapy.
Appendix
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Literature
3.
go back to reference Nahid P, Dorman SE, Alipanah N, Barry PM, Brozek JL, Cattamanchi A, et al. Executive summary: official American thoracic society/centers for disease control and prevention/infectious diseases society of America clinical practice guidelines: treatment of drug-susceptible tuberculosis. Clin Infect Dis. 2016;63(7):853–67. https://doi.org/10.1093/cid/ciw566.CrossRefPubMedPubMedCentral Nahid P, Dorman SE, Alipanah N, Barry PM, Brozek JL, Cattamanchi A, et al. Executive summary: official American thoracic society/centers for disease control and prevention/infectious diseases society of America clinical practice guidelines: treatment of drug-susceptible tuberculosis. Clin Infect Dis. 2016;63(7):853–67. https://​doi.​org/​10.​1093/​cid/​ciw566.CrossRefPubMedPubMedCentral
5.
go back to reference American Thoracic S, Cdc, Infectious Diseases Society of A. Treatment of tuberculosis. MMWR Recomm Rep. 2003;52(RR-11):1–77. American Thoracic S, Cdc, Infectious Diseases Society of A. Treatment of tuberculosis. MMWR Recomm Rep. 2003;52(RR-11):1–77.
Metadata
Title
Hepatitis in children with tuberculosis: a case report and review of the literature
Authors
Maria Sanchez-Codez
W. Garret Hunt
Joshua Watson
Asuncion Mejias
Publication date
01-12-2020
Publisher
BioMed Central
Published in
BMC Pulmonary Medicine / Issue 1/2020
Electronic ISSN: 1471-2466
DOI
https://doi.org/10.1186/s12890-020-01215-6

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