Choosing Wisely: Computed Tomography in the Diagnosis of Adolescents With Intrathoracic Tuberculosis

J Pediatric Infect Dis Soc. 2021 Apr 30;10(4):521-524. doi: 10.1093/jpids/piaa134.

Abstract

In a retrospective study of adolescents with intrathoracic tuberculosis (TB), 26 out of the 81 (32%) patients had undergone chest computed tomography (CT). Chest CT was considered unnecessary in 7 (27%), necessary in 7 (27%), and possibly/probably helpful in 12 (46%). Promptly obtaining specimens for sputum smear microscopy, molecular testing, as well as culture for Mycobacterium tuberculosis could avoid several unnecessary CTs.

Keywords: computed tomography; diagnostic imaging; pediatric; radiation exposure; tuberculosis; utility.

MeSH terms

  • Adolescent
  • Humans
  • Mycobacterium tuberculosis*
  • Retrospective Studies
  • Sensitivity and Specificity
  • Sputum
  • Tomography, X-Ray Computed
  • Tuberculosis*
  • Tuberculosis, Pulmonary* / diagnostic imaging