Primary complex, a form of Tuberculosis, is a disease that is common among children. It is caused by infection from the bacteria Mycobacterium tuberculosis . Virtually all transmission of Mycobacterium tuberculosis is from person to person, usually by mucous droplets that become airborne when the ill individual coughs, sneezes, laughs, sings, or even breathes .
Unfortunately, our baby Yesha, like many young children, has contracted this disease. She has been in medication for almost two months now. Prior to that, we were really worried about her poor weight gain and low appetite. What’s frustrating was we’re totally clueless on what’s causing it back then. In our experience, below were the symptoms that she was exhibiting:
Symptoms of Primary Complex
- Poor weight gain, (ie weight was playing around 17.5 lbs for 3 consecutive months.)
- Low food appetite
- Enlargement/bulky lymph node on the neck area
How To Diagnose a Primary Complex
During our monthly check up, Yesha’s pedia prescribed Heraclene to catch up on her weight gain. The pedia told us that if her weight did not improve after a month it could be due to her weak lungs. Of course I couldn’t believe and accept it, how could an energetic, unsickly and active baby have weak lungs!
As a mom, the possibility of lung problem has made me feel down. But luckily, as I was browsing a public forum, I stumbled upon a post of one mom who had the same situation as mine. And that’s then I learned about this.
So I read a lot about Primary Complex by searching through the net about it. And having done this prepared me on Yesha’s future diagnosis.
PPD Skin Test
After a month of religiously giving Yesha Heraclene, her weight did not improve and remained the same. So pedia did a PPD skin test on her and made us return after 2 days for the reading.
After 48 hours, the reading was negative, and so pedia requested for chest x-ray. But the radiologist suggested to consider Pneumonia. So our doctor read the x-ray, but being the experienced pedia that she is and since Yesha has no bouts of cough, she diagnosed Primary Complex instead.
Below are the photos of Yesha’s x-rays. Normally, a healthy lungs should be clean and clear. But in her x-rays below, you can easily notice the cloudiness in her lung’s xrays.
Chest X-Ray posteroanterior (PA) view
Chest Xray Lateral View
How to Cure Pimary Complex with Kidz Kit 3
Our pedia prescribed Kidz Kit 3 which costs Php475 per box.
Php 80 – Curazid (Isoniazid)
Php 350 – Natricin (Rifampicin)
Php 112 – Zcure (Pyrazinamide)
Each pack of Kidz Kit 3 contains:
2 – 120mL bottles of Zcure (Pyrazinamide) 250mg per 5mL suspension
1 – 120mL bottle of Natricin (Rifampicin) Forte 200mg per 5mL suspension
1 – 120mL bottle of Curazid (Isoniazid) Forte 200mg/10 mg per 5mL syrup
Each 5mL of Zcure suspension contains 250mg pyrazinamide
Each 5mL of Natricin Forte suspension contains 200mg rifampicin
Each 5mL of Curazid forte syrup contains 200mg isoniazid and 10mg pyridoxine hydrochloride (Vitamin B6)
How to Apply Kidz Kit 3
The medication will last for 6 months. Quite a long time? The medication, yes, but you need not wait for 6 months to see the results. For one and half months, from 17.5 lbs, my baby’s weight now is 19.4 lbs.
Yesha’s appetite for food has also returned to normal. For Yesha’s age, 2.5mL of Kidz Kit is required which should be given religiously and without skippings. So our daily schedule is like this:
6.30am : Rifampicin (yesha’s wake up time and has an empty stomach)
7.00am : Isoniazid (30 min after Rifampicin)
7.30am : Breakfast time (30 min after Isoniazid )
after bfast : Pyrazinamide (Anytime during the day)
*Since Rifampicin and Pyrazinamide are both suspensions, they must be shaken well before giving to your child. Rifampicin and Izoniazid must be taken for the whole six months of medication while Pyrazinamide is only for the first two months.
photo by Gary Roebuck
We also learned that using a syringe (without needle) instead of medicine dropper is easier, cleaner and faster, so that’s what we have been doing for the past months. After almost two months, Yesha is slowly gaining weight and getting plumper.
We are really happy that the cause of her three months poor weight gain has been identified and currently being medicated. Now eating and feeding times are enjoyable again for both of us.
*Please read Part 2 for our successful medication
2. Chin DP, Crane CM, Diul MY, et al. Spread of Mycobacterium tuberculosis in a community implementing recommended elements of tuberculosis control. JAMA 2000; 283:2968-2974