{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,27]],"date-time":"2026-01-27T12:13:29Z","timestamp":1769516009186,"version":"3.49.0"},"reference-count":28,"publisher":"FapUNIFESP (SciELO)","issue":"6","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Rev. Soc. Bras. Med. Trop."],"published-print":{"date-parts":[[2010,12]]},"abstract":"<jats:p>INTRODU\u00c7\u00c3O: Entre os Suru\u00ed de Rond\u00f4nia foram registradas incid\u00eancias m\u00e9dias de TB &gt; 2.500\/100.000 habitantes, entre 1991-2002. Aproximadamente 50% desses casos foram notificados em &lt; 15 anos. M\u00c9TODOS: Trata-se de um estudo cl\u00ednico-epidemiol\u00f3gico que teve como objetivo descrever as caracter\u00edsticas cl\u00ednico-radiol\u00f3gicas em crian\u00e7as e adolescentes identificados como contatos de doentes de TB. Al\u00e9m disto, aplicar o sistema de pontua\u00e7\u00e3o para o diagn\u00f3stico de TB na inf\u00e2ncia e verificar se as condutas adotadas no n\u00edvel local foram concordantes com as diretrizes nacionais. RESULTADOS: Foram analisados 52 Rx de 37 ind\u00edgenas. Deste conjunto, 48,1% foram normais e 51,9% anormais. Alguns dos Rx apresentaram duas ou mais altera\u00e7\u00f5es, totalizando 36 eventos independentes. Observou-se infiltrados (38,9%), calcifica\u00e7\u00f5es (38,9%), cavita\u00e7\u00f5es (11,1%) e atelectasias\/derrame pleural (11,1%). Nas imagens anormais, 22,2% eram TB provavelmente ativa e 33,3% sequelas. A confronta\u00e7\u00e3o com as diretrizes constatou 52,6% de condutas discordantes. CONCLUS\u00d5ES: A presen\u00e7a da infec\u00e7\u00e3o tuberculosa latente (ITBL) e TB ativa, entre crian\u00e7as e adolescentes, s\u00e3o indicadores de transmiss\u00e3o ativa e continuada do Mycobacterium tuberculosis. Os Rx mostrando alta frequ\u00eancia de infiltrados e calcifica\u00e7\u00f5es \u00e9 compat\u00edvel com primo-infec\u00e7\u00e3o em idade precoce. Entretanto, essas altera\u00e7\u00f5es n\u00e3o s\u00e3o diferentes daquelas observadas entre outros grupos, n\u00e3o sugerindo comprometimento imunol\u00f3gico. As discord\u00e2ncias apontadas indicam que o momento ideal para o tratamento da ITBL passou despercebido. Conclui-se que \u00e9 fundamental a utiliza\u00e7\u00e3o do sistema de pontua\u00e7\u00e3o para o correto diagn\u00f3stico de TB na inf\u00e2ncia, assim como a realiza\u00e7\u00e3o de baciloscopia e cultura de escarro em adolescentes capazes de expectorar.<\/jats:p>","DOI":"10.1590\/s0037-86822010000600024","type":"journal-article","created":{"date-parts":[[2010,12,20]],"date-time":"2010-12-20T06:29:35Z","timestamp":1292826575000},"page":"719-722","source":"Crossref","is-referenced-by-count":17,"title":["Estudo cl\u00ednico-radiol\u00f3gico de crian\u00e7as e adolescentes ind\u00edgenas Suru\u00ed, Regi\u00e3o Amaz\u00f4nica"],"prefix":"10.1590","volume":"43","author":[{"given":"Paulo Cesar","family":"Basta","sequence":"first","affiliation":[{"name":"Funda\u00e7\u00e3o Oswaldo Cruz"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Diana Patr\u00edcia Giraldo","family":"Rios","sequence":"additional","affiliation":[{"name":"Funda\u00e7\u00e3o Oswaldo 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