Tuberculosis in children has assumed epidemic proportions in recent times. Multi-drug resistant and extensively drug resistant TB is now being increasingly reported in children. The treatment of these patients is prolonged and associated with lot of drug toxicity. Thus management of patients is becoming complex and more specialized.
Advances in diagnostics have led to emergence of new tests such as interferon gamma release assays and also nucleic acid amplification tests which help to rule out TB and also make diagnosis of TB rapidly respectively. However, in spite of advances, still diagnosis of TB in children is based on circumstantial evidence such as contact with an adult having open TB, positive mantoux test and a non-resolving pneumonia. The book is written with the aim of aiding clinicians in management of patients with TB, how to interpret the various tests that are available for TB and also with case based approach so that it’s easy to put this knowledge in practical use.
Medicine - Pediatric
Dr. Ira Shah, DPID (UK) MD, DCH (GoldMedalist), FCPS, DNB, Visiting Fellowship(RCPCH, UK)