Tuberculosis remains an important public health problem and a significant cause of morbidity, mortality, and health care expenditures in the United States and worldwide.1 In 1994, 24 361 cases of tuberculosis were reported to the Centers for Disease Control and Prevention, Atlanta, Ga; 1695 of these cases were in children younger than 14 years.2 Although the total number of cases dropped in 1995 to 22 813 (1551 cases in children <14 years), the number of cases in foreign-born persons grew from 7627 in 1994 to 8042 in 1995.3 There is a bimodal distribution with approximately 60% of childhood cases occurring in children younger than 5 years and a peak again in children older than 14 years. While the incidence of pulmonary tuberculosis has fallen during the past few decades, extrapulmonary disease has remained relatively constant since the 1960s.4-6
An uncommon extrapulmonary site for tuberculosis is the
Heneghan AM, Livingston R. Genital Tuberculosis in an Adolescent Male. Arch Pediatr Adolesc Med. 1997;151(5):526–527. doi:10.1001/archpedi.1997.02170420096019
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