Tuberculosis Presenting as a Mediastinal Mass in an Infant
2
조회
0
다운로드
0
인용
0
참고문헌
키워드
초록
Tuberculosis can occur in various organ systems and may present with diverse manifestations. We report an unusual case of mediastinal tuberculoma in a 3-month-old boy who presented to the hospital after experiencing fever, cough, and progressive pneumonia for two weeks. The chest computed tomography scan indicated a mediastinal mass suggesting lymphoma. However, histological analysis confirmed that the mass was caused by tuberculosis. The present report describes the delayed diagnosis of a disease due to an uncommon presentation. Misdiagnosing unusual cases of tuberculosis results in treatment delays and may lead to an increase in morbidity. Therefore, we suggest that tuberculosis should be included in the differential diagnosis for children presenting with a mediastinal mass, especially in areas with a high prevalence of tuberculosis. (Ann Clin Microbiol 2017;20:-20)
Abstract
Tuberculosis can occur in various organ systems and may present with diverse manifestations. We report an unusual case of mediastinal tuberculoma in a 3-month-old boy who presented to the hospital after experiencing fever, cough, and progressive pneumonia for two weeks. The chest computed tomography scan indicated a mediastinal mass suggesting lymphoma. However, histological analysis confirmed that the mass was caused by tuberculosis. The present report describes the delayed diagnosis of a disease due to an uncommon presentation. Misdiagnosing unusual cases of tuberculosis results in treatment delays and may lead to an increase in morbidity. Therefore, we suggest that tuberculosis should be included in the differential diagnosis for children presenting with a mediastinal mass, especially in areas with a high prevalence of tuberculosis. (Ann Clin Microbiol 2017;20:-20)
참고문헌 (13)
- Global Tuberculosis Report 2014, "WHO", World Health Organization, ~ (2014)
- Al-Tawfiq JA, "Multifocal systemic tuberculosis: the many faces of an old nemesis", Med Sci Monit, 13, pp.CS56~60 (2007)
- Ussery XT, "Epidemiology of tuberculosis among children in the United States: 1985 to 1994", Pediatr Infect Dis J, 15, pp.697~704 (1996)
- Gillies MJ, "An unusual cause of a superior mediastinal mass in an infant", Pediatr Surg Int, 24, pp.485~486 (2008)
- De Ugarte DA, "Tuberculous mediastinal mass presenting with stridor in a 3-month-old child", J Pediatr Surg, 38, pp.624~625 (2003)
- Ahmed A, "Mediastinal tuberculosis in a 10-month-old child", J Laryngol Otol, 115, pp.161~163 (2001)
- Simpson I, "Mediastinal masses in childhood: a review from a paediatric pathologist's point of view", Prog Pediatr Surg, 27, pp.92~126 (1991)
- Jaggers J, "Mediastinal masses in children", Semin Thoracic Surg, 16, pp.201~208 (2004)
- Ranganath SH, "Mediastinal masses in children", AJR Am J Roentgenol, 198, pp.W197~216 (2012)
- Grosfeld JL, "Mediastinal tumors in children: experience with 196 cases", Ann Surg Oncol, 1, pp.121~127 (1994)
- Talbot EA, "Disseminated bacille Calmette-Guérin disease after vaccination: case report and review", Clin Infect Dis, 24, pp.1139~1146 (1997)
- Storla DG, "A systematic review of delay in the diagnosis and treatment of tuberculosis", BMC Public Health, 8, pp.15~ (2008)
- Palomino JC, "Tuberculosis 2007; from basic science to patient care" (2007), Amedeo Challenge