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Volume 32, Number 9—September 2026

Research Letter

Pediatric Tuberculosis Care Outcomes in a Tertiary Care Center, France, 2014–2024

Diane FrancoComments to Author , Luc Panetta, Florence Ader, Antoine Ouziel, Yves Gillet, and Côme Horvat
Author affiliation: Hospices Civils de Lyon, Lyon, France (D. Franco, L. Panetta, F. Ader, A. Ouziel, Y. Gillet, C. Horvat); Centre Hospitalier Universitaire Sainte-Justine, Montreal, Quebec, Canada (L. Panetta).

Main Article

Table

Population characteristics of pediatric patients with TB, France, 2014–2024*

Characteristics No. (%) patients
Total, n = 110 Favorable outcome, n = 67 Unfavorable outcome, n = 43
Age group, y
<1 11 (10.0) 7 (10.4) 4 (9.3)
1–5 46 (41.8) 28 (41.8) 18 (41.9)
5–10 20 (18.2) 13 (19.4) 7 (16.3)
10–18
33 (30)
19 (28.4)
14 (32.5)
Sex
M 61 (55.5) 40 (59.7) 21 (48.8)
F
49 (45.5)
27 (41.3)
22 (51.2)
Underlying conditions
Malnutrition 10 (9.1) 6 (9.0) 4 (9.3)
HIV co-infection
4 (3.6)
2 (3.0)
2 (4.7)
Extrapulmonary tuberculosis complications
Isolated thoracic TB 78 (70.9) 52 (77.6) 26 (60.5)
Peripheral lymphadenitis 18 (16.4) 8 (7.3) 10 (9.1)
Central nervous system TB 6 (5.5) 4 (3.6) 2 (1.8)
Osteoarticular TB
6 (5.5)
4 (3.6)
2 (1.8)
IRIS
8 (7.3)
2 (3.0)
6 (14.0)
BCG vaccination
45 (40.9)
36 (53.7)
9 (20.9)
Microbiologic characteristics
Microbiological confirmation 58 (52.7) 31 (46.3) 27 (62.8)
Identified index case 43 (39.1) 32 (47.8) 11 (25.6)
Drug-resistant strain
5 (4.5)
2 (3.0)
3 (7.0)
Initial treatment characteristics
Planned treatment duration, mo
<6 64 (58.2) 55 (82.1) 9 (20.9)
>6 13 (11.8) 12 (17.9) 1 (2.3)
Initial treatment regimen
Standard 4-drug regimen: HRZE 62 (56.4) 38 (56.7) 24 (55.8)
Standard 3-drug regimen: HRZ 46 (41.8) 27 (40.3) 19 (44.2)
Other treatment regimen 2 (1.8) 2 (3.0) 0

* BCG, Bacille Calmette-Guérin; HRZ, isoniazid, rifampin, and pyrazinamide; HRZE, isoniazid, rifampin, pyrazinamide, and ethambutol; IRIS, immune reconstitution inflammatory syndrome; TB, tuberculosis

Main Article

Page created: July 23, 2026
Page updated: August 17, 2026
Page reviewed: August 17, 2026
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