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Miliary tuberculosis disease complicated by Pott's abscess in an infant: Seven year follow-up

A 20-month-old boy presented with 1-year history of persistent fever, cough, and progressive abdominal distention. Abdominal ultrasonography showed hepatomegaly and multiple calcifications in the liver and spleen. Thoracic computed tomography showed multiple mediastinal lymph nodes and consolidation...

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Autores principales: Bayhan, Gulsum Iclal, Tanir, Gonul, Gayretli Aydın, Zeynep Gokce, Yildiz, Yasemin Tasci
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Medknow Publications & Media Pvt Ltd 2015
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4429388/
https://www.ncbi.nlm.nih.gov/pubmed/25983412
http://dx.doi.org/10.4103/0970-2113.156246
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author Bayhan, Gulsum Iclal
Tanir, Gonul
Gayretli Aydın, Zeynep Gokce
Yildiz, Yasemin Tasci
author_facet Bayhan, Gulsum Iclal
Tanir, Gonul
Gayretli Aydın, Zeynep Gokce
Yildiz, Yasemin Tasci
author_sort Bayhan, Gulsum Iclal
collection PubMed
description A 20-month-old boy presented with 1-year history of persistent fever, cough, and progressive abdominal distention. Abdominal ultrasonography showed hepatomegaly and multiple calcifications in the liver and spleen. Thoracic computed tomography showed multiple mediastinal lymph nodes and consolidation in both lungs. Additionally, there was a 2-cm thick retroperitoneal soft tissue mass destroying the T7-8 and L1-L2 vertebral bodies. The patient was preliminarily diagnosed with miliary tuberculosis (TB) and Pott's disease, and began administering anti-TB treatment consisting of isoniazid, rifampin, ethambutol, and pyrazinamide. Acid-resistant bacilli analysis and mycobacterial culture of the biopsy specimen of Pott's abscess were positive. Mycobacterial culture and PCR of gastric aspirate were also positive. The patient's condition progressively improved with anti-TB treatment and he received 12 months of antiTB therapy. At the end of the treatment all of the patient's symptoms were relieved and he was well except for kyphosis. Miliary TB complicated by Pott's abscess is a very rare presentation of childhood TB. The presented case shows that when Pott's abscess is diagnosed and surgically corrected without delay, patients can recover without squeal.
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spelling pubmed-44293882015-05-15 Miliary tuberculosis disease complicated by Pott's abscess in an infant: Seven year follow-up Bayhan, Gulsum Iclal Tanir, Gonul Gayretli Aydın, Zeynep Gokce Yildiz, Yasemin Tasci Lung India Case Report A 20-month-old boy presented with 1-year history of persistent fever, cough, and progressive abdominal distention. Abdominal ultrasonography showed hepatomegaly and multiple calcifications in the liver and spleen. Thoracic computed tomography showed multiple mediastinal lymph nodes and consolidation in both lungs. Additionally, there was a 2-cm thick retroperitoneal soft tissue mass destroying the T7-8 and L1-L2 vertebral bodies. The patient was preliminarily diagnosed with miliary tuberculosis (TB) and Pott's disease, and began administering anti-TB treatment consisting of isoniazid, rifampin, ethambutol, and pyrazinamide. Acid-resistant bacilli analysis and mycobacterial culture of the biopsy specimen of Pott's abscess were positive. Mycobacterial culture and PCR of gastric aspirate were also positive. The patient's condition progressively improved with anti-TB treatment and he received 12 months of antiTB therapy. At the end of the treatment all of the patient's symptoms were relieved and he was well except for kyphosis. Miliary TB complicated by Pott's abscess is a very rare presentation of childhood TB. The presented case shows that when Pott's abscess is diagnosed and surgically corrected without delay, patients can recover without squeal. Medknow Publications & Media Pvt Ltd 2015 /pmc/articles/PMC4429388/ /pubmed/25983412 http://dx.doi.org/10.4103/0970-2113.156246 Text en Copyright: © Lung India http://creativecommons.org/licenses/by-nc-sa/3.0 This is an open-access article distributed under the terms of the Creative Commons Attribution-Noncommercial-Share Alike 3.0 Unported, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Case Report
Bayhan, Gulsum Iclal
Tanir, Gonul
Gayretli Aydın, Zeynep Gokce
Yildiz, Yasemin Tasci
Miliary tuberculosis disease complicated by Pott's abscess in an infant: Seven year follow-up
title Miliary tuberculosis disease complicated by Pott's abscess in an infant: Seven year follow-up
title_full Miliary tuberculosis disease complicated by Pott's abscess in an infant: Seven year follow-up
title_fullStr Miliary tuberculosis disease complicated by Pott's abscess in an infant: Seven year follow-up
title_full_unstemmed Miliary tuberculosis disease complicated by Pott's abscess in an infant: Seven year follow-up
title_short Miliary tuberculosis disease complicated by Pott's abscess in an infant: Seven year follow-up
title_sort miliary tuberculosis disease complicated by pott's abscess in an infant: seven year follow-up
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4429388/
https://www.ncbi.nlm.nih.gov/pubmed/25983412
http://dx.doi.org/10.4103/0970-2113.156246
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