Tygerberg score
Tygerberg score is a clinical scoring system used to predict the likelihood of tuberculosis (TB) in children. It was developed at the Tygerberg Hospital in South Africa, a country with a high incidence of TB. The score is based on a combination of clinical, radiological, and laboratory findings.
Overview[edit | edit source]
The Tygerberg score is a tool used to assist in the diagnosis of tuberculosis in children. It was developed in response to the challenges of diagnosing TB in children, which can often present differently than in adults. The score is based on a combination of clinical, radiological, and laboratory findings, and is used to predict the likelihood of a child having TB.
Scoring System[edit | edit source]
The Tygerberg score consists of seven components, each of which is assigned a certain number of points. These components include:
- History of close contact with a TB case
- Chronic symptoms (cough for more than two weeks, unexplained weight loss or failure to thrive, fever for more than two weeks)
- Physical signs (reduced breath sounds, crepitations, wheeze, hepatomegaly)
- Positive tuberculin skin test
- Abnormal chest X-ray suggestive of TB
- Erythrocyte sedimentation rate (ESR) greater than 40 mm/h
- Positive gastric washings for acid-fast bacilli
The total score is calculated by adding up the points for each component. A score of 7 or more is considered suggestive of TB.
Use and Limitations[edit | edit source]
The Tygerberg score is used in settings where TB is prevalent and resources for diagnostic testing are limited. It is a useful tool for identifying children who are likely to have TB and who should therefore be started on treatment.
However, the score has limitations. It is less accurate in diagnosing TB in children who are HIV positive, and it may not be as useful in settings where TB is less common. Furthermore, the score does not replace the need for definitive diagnostic testing where available.
See Also[edit | edit source]
References[edit | edit source]
| Tygerberg score Resources | |
|---|---|
|
 |
Search WikiMD
Ad.Tired of being Overweight? Try W8MD's physician weight loss program.
Semaglutide (Ozempic / Wegovy and Tirzepatide (Mounjaro / Zepbound) available.
Advertise on WikiMD
|
WikiMD's Wellness Encyclopedia |
| Let Food Be Thy Medicine Medicine Thy Food - Hippocrates |
Translate this page: - East Asian
中文,
日本,
한국어,
South Asian
हिन्दी,
தமிழ்,
తెలుగు,
Urdu,
ಕನ್ನಡ,
Southeast Asian
Indonesian,
Vietnamese,
Thai,
မြန်မာဘာသာ,
বাংলা
European
español,
Deutsch,
français,
Greek,
português do Brasil,
polski,
română,
русский,
Nederlands,
norsk,
svenska,
suomi,
Italian
Middle Eastern & African
عربى,
Turkish,
Persian,
Hebrew,
Afrikaans,
isiZulu,
Kiswahili,
Other
Bulgarian,
Hungarian,
Czech,
Swedish,
മലയാളം,
मराठी,
ਪੰਜਾਬੀ,
ગુજરાતી,
Portuguese,
Ukrainian
Medical Disclaimer: WikiMD is not a substitute for professional medical advice. The information on WikiMD is provided as an information resource only, may be incorrect, outdated or misleading, and is not to be used or relied on for any diagnostic or treatment purposes. Please consult your health care provider before making any healthcare decisions or for guidance about a specific medical condition. WikiMD expressly disclaims responsibility, and shall have no liability, for any damages, loss, injury, or liability whatsoever suffered as a result of your reliance on the information contained in this site. By visiting this site you agree to the foregoing terms and conditions, which may from time to time be changed or supplemented by WikiMD. If you do not agree to the foregoing terms and conditions, you should not enter or use this site. See full disclaimer.
Credits:Most images are courtesy of Wikimedia commons, and templates Wikipedia, licensed under CC BY SA or similar.
Contributors: Prab R. Tumpati, MD
