Vitamin D Levels in Active TB, Latent TB, Non-TB Pneumonia and Healthy Children: A Prospective Observational Study

Fetal Pediatr Pathol. 2018 Oct;37(5):337-347. doi: 10.1080/15513815.2018.1509407. Epub 2018 Sep 27.

Abstract

Background: Growing evidence suggests that vitamin D deficiency might be implicated in the development of active tuberculosis (TB). We evaluated vitamin D levels in children with active TB compared to children with latent TB infection (LTBI), non-TB pneumonia (NTBP) and healthy controls to determine if there was a difference.

Methods: In this prospective study, vitamin D levels were measured and compared between the four groups and adjusted for age, ethnicity, gender and season of sample collection.

Results: Fifty-seven children were included: 24.6% active TB, 28.1% LTBI, 22.8% NPTB and 24.6% healthy controls. 36.8% of all children tested had an insufficient or deficient vitamin D level. Vitamin D level was significantly lower in active TB compared to other groups (p = 0.004).

Conclusions: Our study showed a correlation between hypovitaminosis D and active pulmonary TB.

Keywords: latent TB infection; pneumonia; tuberculosis; vitamin D.

Publication types

  • Observational Study

MeSH terms

  • Case-Control Studies
  • Child
  • Child, Preschool
  • Female
  • Humans
  • Infant
  • Infant, Newborn
  • Latent Tuberculosis / blood*
  • Male
  • Pneumonia / blood*
  • Tuberculosis / blood*
  • Vitamin D / blood*
  • Vitamin D Deficiency / blood
  • Vitamin D Deficiency / complications
  • Vitamin D Deficiency / epidemiology*

Substances

  • Vitamin D