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To examine characteristics of children and adolescents in the U.S. with tuberculosis and the role of international exposure, CDC investigators analyzed surveillance data for 2660 children (age, <18 years) diagnosed with active tuberculosis (TB) between 2008 and 2010.
Overall, 75% of patients were either foreign-born, had lived in a foreign country, or had a foreign-born parent. Foreign-born patients were older than U.S.-born patients (11.0 vs. 5.5 years) and more likely to have pulmonary disease; U.S.-born patients were more likely to have extrapulmonary manifestations. The most common country of birth for foreign-born patients was Mexico, followed by the Philippines, Ethiopia, Haiti, Burma, Somalia, Vietnam, China, and India. Among 607 U.S.…