81 cases of tuberculosis infection (17) and disease (64), seen between 1977 and 1995 at St Göran's Children's hospital, Stockholm, Sweden are reviewed.
The incidence of tuberculosis disease increased from I to 6/105 children/y. The increase was due to immigration from high-prevalence countries, with an incidence of 20/105 in a partly segregated suburb.
Most of the children were foreign-born.
Of the 31 0-4-y-old cases, 19 were born in Sweden, and 7 had received BCG vaccination.
For Swedish-born children with Swedish-born parents, the incidence of tuberculosis disease remained stable at<0.5. 50 patients were symptomatic when first seen (60% pulmonary tuberculosis, 8% miliary tuberculosis, 25% cervical adenitis, 15% other extrapulmonary tuberculosis).
There was 1 death, and in 2 children complicated tuberculosis courses.
Side effects of drug therapy were seen in 5% of the children.
In conclusion, tuberculosis remains an important differential diagnosis in children of immigrants from high-prevalence countries for at least 5 y after settlement in Sweden.
The practice of delaying BCG vaccination of them until 6 months of age can be disputed.
Mots-clés Pascal : Tuberculose, Mycobactériose, Bactériose, Infection, Symptomatologie, Epidémiologie, Enfant, Homme, Suède, Europe
Mots-clés Pascal anglais : Tuberculosis, Mycobacterial infection, Bacteriosis, Infection, Symptomatology, Epidemiology, Child, Human, Sweden, Europe
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 98-0269898
Code Inist : 002B05B02O. Création : 27/11/1998.