Miliary tuberculosis with positive acid-fast bacilli in a pediatric patient
Autor(a) principal: | |
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Data de Publicação: | 2003 |
Outros Autores: | , , , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | São Paulo medical journal (Online) |
Texto Completo: | http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1516-31802003000300008 |
Resumo: | CONTEXT: Tuberculosis is an important public health issue. The Brazilian government reported 78,460 new cases in 1999. Miliary tuberculosis is a severe form of this disease. OBJECTIVE: To report on an uncommon clinical presentation of miliary tuberculosis in a child. CASE REPORT: A 5-year old boy presented in the emergency room with fatigue and weight loss. He had had Staphylococcus aureus pneumonia 7 months before. Chest radiography revealed lobar consolidation and miliary pattern associated with small cavities in both upper lobes. Antibiotic therapy was started. The sputum was positive for acid-fast bacilli and hence the treatment recommended for tuberculosis (rifampicin, isoniazid [INH], pyrazinamide) was started. The patient was treated for 9 months and at the end of the follow-up period he had made a complete clinical recovery. CONCLUSION: Although in some particular cases sputum can be positive for acid-fast bacilli in children, limitations to the sputum test have forced pediatricians to base tuberculosis diagnosis on epidemiological data, clinical findings and radiographic pattern. In this particular case, we hypothesize that the sputum bacillus test was positive because bacilli grew inside residual pneumatoceles that were produced during previous pneumonia. |
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Miliary tuberculosis with positive acid-fast bacilli in a pediatric patientMiliary tuberculosisLaboratory techniques and proceduresCONTEXT: Tuberculosis is an important public health issue. The Brazilian government reported 78,460 new cases in 1999. Miliary tuberculosis is a severe form of this disease. OBJECTIVE: To report on an uncommon clinical presentation of miliary tuberculosis in a child. CASE REPORT: A 5-year old boy presented in the emergency room with fatigue and weight loss. He had had Staphylococcus aureus pneumonia 7 months before. Chest radiography revealed lobar consolidation and miliary pattern associated with small cavities in both upper lobes. Antibiotic therapy was started. The sputum was positive for acid-fast bacilli and hence the treatment recommended for tuberculosis (rifampicin, isoniazid [INH], pyrazinamide) was started. The patient was treated for 9 months and at the end of the follow-up period he had made a complete clinical recovery. CONCLUSION: Although in some particular cases sputum can be positive for acid-fast bacilli in children, limitations to the sputum test have forced pediatricians to base tuberculosis diagnosis on epidemiological data, clinical findings and radiographic pattern. In this particular case, we hypothesize that the sputum bacillus test was positive because bacilli grew inside residual pneumatoceles that were produced during previous pneumonia.Associação Paulista de Medicina - APM2003-01-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S1516-31802003000300008Sao Paulo Medical Journal v.121 n.3 2003reponame:São Paulo medical journal (Online)instname:Associação Paulista de Medicinainstacron:APM10.1590/S1516-31802003000300008info:eu-repo/semantics/openAccessFernandes,Sara Regina CastanheiraHoma,Marcia Noriko de OliveiraIgarashi,AghataSalles,Andréa Luiza MendesJaloretto,Ana PaulaFreitas,Maria SilviaNogueira,Paulo Cesar Kocheng2003-08-08T00:00:00Zoai:scielo:S1516-31802003000300008Revistahttp://www.scielo.br/spmjhttps://old.scielo.br/oai/scielo-oai.phprevistas@apm.org.br1806-94601516-3180opendoar:2003-08-08T00:00São Paulo medical journal (Online) - Associação Paulista de Medicinafalse |
dc.title.none.fl_str_mv |
Miliary tuberculosis with positive acid-fast bacilli in a pediatric patient |
title |
Miliary tuberculosis with positive acid-fast bacilli in a pediatric patient |
spellingShingle |
Miliary tuberculosis with positive acid-fast bacilli in a pediatric patient Fernandes,Sara Regina Castanheira Miliary tuberculosis Laboratory techniques and procedures |
title_short |
Miliary tuberculosis with positive acid-fast bacilli in a pediatric patient |
title_full |
Miliary tuberculosis with positive acid-fast bacilli in a pediatric patient |
title_fullStr |
Miliary tuberculosis with positive acid-fast bacilli in a pediatric patient |
title_full_unstemmed |
Miliary tuberculosis with positive acid-fast bacilli in a pediatric patient |
title_sort |
Miliary tuberculosis with positive acid-fast bacilli in a pediatric patient |
author |
Fernandes,Sara Regina Castanheira |
author_facet |
Fernandes,Sara Regina Castanheira Homa,Marcia Noriko de Oliveira Igarashi,Aghata Salles,Andréa Luiza Mendes Jaloretto,Ana Paula Freitas,Maria Silvia Nogueira,Paulo Cesar Koch |
author_role |
author |
author2 |
Homa,Marcia Noriko de Oliveira Igarashi,Aghata Salles,Andréa Luiza Mendes Jaloretto,Ana Paula Freitas,Maria Silvia Nogueira,Paulo Cesar Koch |
author2_role |
author author author author author author |
dc.contributor.author.fl_str_mv |
Fernandes,Sara Regina Castanheira Homa,Marcia Noriko de Oliveira Igarashi,Aghata Salles,Andréa Luiza Mendes Jaloretto,Ana Paula Freitas,Maria Silvia Nogueira,Paulo Cesar Koch |
dc.subject.por.fl_str_mv |
Miliary tuberculosis Laboratory techniques and procedures |
topic |
Miliary tuberculosis Laboratory techniques and procedures |
description |
CONTEXT: Tuberculosis is an important public health issue. The Brazilian government reported 78,460 new cases in 1999. Miliary tuberculosis is a severe form of this disease. OBJECTIVE: To report on an uncommon clinical presentation of miliary tuberculosis in a child. CASE REPORT: A 5-year old boy presented in the emergency room with fatigue and weight loss. He had had Staphylococcus aureus pneumonia 7 months before. Chest radiography revealed lobar consolidation and miliary pattern associated with small cavities in both upper lobes. Antibiotic therapy was started. The sputum was positive for acid-fast bacilli and hence the treatment recommended for tuberculosis (rifampicin, isoniazid [INH], pyrazinamide) was started. The patient was treated for 9 months and at the end of the follow-up period he had made a complete clinical recovery. CONCLUSION: Although in some particular cases sputum can be positive for acid-fast bacilli in children, limitations to the sputum test have forced pediatricians to base tuberculosis diagnosis on epidemiological data, clinical findings and radiographic pattern. In this particular case, we hypothesize that the sputum bacillus test was positive because bacilli grew inside residual pneumatoceles that were produced during previous pneumonia. |
publishDate |
2003 |
dc.date.none.fl_str_mv |
2003-01-01 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1516-31802003000300008 |
url |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1516-31802003000300008 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
10.1590/S1516-31802003000300008 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
text/html |
dc.publisher.none.fl_str_mv |
Associação Paulista de Medicina - APM |
publisher.none.fl_str_mv |
Associação Paulista de Medicina - APM |
dc.source.none.fl_str_mv |
Sao Paulo Medical Journal v.121 n.3 2003 reponame:São Paulo medical journal (Online) instname:Associação Paulista de Medicina instacron:APM |
instname_str |
Associação Paulista de Medicina |
instacron_str |
APM |
institution |
APM |
reponame_str |
São Paulo medical journal (Online) |
collection |
São Paulo medical journal (Online) |
repository.name.fl_str_mv |
São Paulo medical journal (Online) - Associação Paulista de Medicina |
repository.mail.fl_str_mv |
revistas@apm.org.br |
_version_ |
1754209260780126208 |