THE ASSOCIATION BETWEEN NOCTURNAL ENURESIS AND TUBERCULOSIS: COINCIDENCE OR COMORBIDITY?


Bastug F., Uzum K., Bastug O., GÜN İ.

ERCIYES MEDICAL JOURNAL, cilt.34, sa.1, ss.20-23, 2012 (ESCI) identifier identifier

  • Yayın Türü: Makale / Tam Makale
  • Cilt numarası: 34 Sayı: 1
  • Basım Tarihi: 2012
  • Doi Numarası: 10.5152/etd.2012.05
  • Dergi Adı: ERCIYES MEDICAL JOURNAL
  • Derginin Tarandığı İndeksler: Emerging Sources Citation Index (ESCI), Scopus
  • Sayfa Sayıları: ss.20-23
  • Erciyes Üniversitesi Adresli: Evet

Özet

Objective: We observed that some children with Tuberculosis (TB) had nocturnal enuresis and the enuresis complaint in these children healed with anti TB drugs. We aimed to investigate a possible relation between nocturnal enuresis and tuberculosis in a prospective study. Material and Methods: One hundred and forty two enuretic children were enrolled to our study. Enuretic cases were treated and followed according to the choice of the children and their parents. The PPD test was performed in enuretic and non-enuretic children of similar age and sex. Enuretic cases were divided into five groups; desmopressin was given to 45 cases, PPD positive 33 cases were treated with isoniazid, and anti-tuberculosis treatment was given to 10 cases with pulmonary TB. Ten cases with PPD positive and 44 PPD negative patients were viewed without drug treatment. Results: A positive PPD skin test was found at a ratio of 30.2% and 24% in enuretic and non-enuretic children, respectively. There was no significant difference between these ratios. Although the TB-group had a small number of cases (n=10), full recovery was observed in 60% of these patients, and their relapse rate (28.5%) was lower than the desmopressin group (70.3%). Conclusion: Because the TB-group had a high remission rate and low relapse rate, and the PPD positivity rate was high in enuretic patients, we concluded that the hypothesis of a possible association between enuresis and tuberculosis should be examined by future studies. Key words: Enuresis, Tuberculosis