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Abstract have pulmonary TB on the base of WHO criteria (1996), only 30 patients were confirmed to have pulmonary TB by various laboratory aids and chest radiographic study. These 30 patients, represented patients group, started antituberculous therapy (Isoniazid, Rifampin and Pyrazinamide) in therapeutic doses for 9-12 months. On the other hand, 10 healthy children age matched with patients group, free from any respiratory illness and with no relevant history of TB were considered the control group. All subjects included in the study were subjected to full history taking, thorough clinical examination, chest radiographs (patients group only) and diagnostic laboratory procedures; CBC and acute phase reactants (for both groups and after 6 months after starting therapy in patient group), tuberculin skin testing (for both groups at time of diagnosis), Z-N smear and culture of sputum or gastric aspirate (for patients group only at time of diagnosis) and PCR (for both groups at the time of diagnosis and after 6 months of starting therapy). Estimation of urinary neopterin was determined in both groups and after 6 months of starting therapy in patients group. from the statistical analysis of our collected data, our study revealed that: The mean age of our studied patients group was 7.51 ± 2.96 years with more male preponderance. 63.3% of patients gave history of BCG vaccination while 36.7% gave family history of TB and 30% gave history of contact with tuberculous adults. The most common clinical presentation in patients group was cough (76.6%) while the least common presentation was haemoptysis (6.6%). |