A remarkable case of pleural effusion

Detalhes bibliográficos
Autor(a) principal: Castelbranco-Silva, Ana
Data de Publicação: 2022
Outros Autores: Ferreira, Filipa A., Calhau, Paulo
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
Texto Completo: https://doi.org/10.25753/BirthGrowthMJ.v31.i2.23700
Resumo: Tuberculosis is rare in pediatric age but remains an issue in populations with risk factors. A new pediatric diagnosis frequently reflects a recent infection in the community. Herein is reported the case of an adolescent with prolonged but well-tolerated dyspnea, anorexia, fever, and night sweats, whose radiograph showed a massive pleural effusion. Pleural fluid analysis was compatible with pleural TB, and pleural biopsy confirmed the diagnosis. Pleural fluid polymerase chain reaction was later positive for Mycobacterium tuberculosis, and interferon-gamma release assay was also positive.
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spelling A remarkable case of pleural effusionUm caso impressionante de derrame pleuralImaging CasesTuberculosis is rare in pediatric age but remains an issue in populations with risk factors. A new pediatric diagnosis frequently reflects a recent infection in the community. Herein is reported the case of an adolescent with prolonged but well-tolerated dyspnea, anorexia, fever, and night sweats, whose radiograph showed a massive pleural effusion. Pleural fluid analysis was compatible with pleural TB, and pleural biopsy confirmed the diagnosis. Pleural fluid polymerase chain reaction was later positive for Mycobacterium tuberculosis, and interferon-gamma release assay was also positive.A tuberculose é uma doença rara em idade pediátrica, mas continua a ser um problema em populações de risco. Um diagnóstico de novo numa criança frequentemente traduz uma infeção recente na comunidade. É descrito o caso de um adolescente com dispneia, anorexia, febre e sudorese noturna prolongadas, mas bem toleradas, cuja radiografia evidenciou um derrame pleural de grandes dimensões. A análise do líquido pleural foi compatível com o diagnóstico de tuberculose pleural e a biópsia pleural permitiu confirmar o diagnóstico. A reação em cadeia da polimerase no líquido pleural foi posteriormente positiva para Mycobacterium tuberculosis e o teste de libertação de interferão gama foi igualmente positivo.Centro Hospitalar Universitário do Porto2022-06-30T00:00:00Zinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articlehttps://doi.org/10.25753/BirthGrowthMJ.v31.i2.23700eng2183-9417Castelbranco-Silva, AnaFerreira, Filipa A.Calhau, Pauloinfo:eu-repo/semantics/openAccessreponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAP2022-09-21T14:55:42Zoai:ojs.revistas.rcaap.pt:article/23700Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-19T15:56:33.267024Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse
dc.title.none.fl_str_mv A remarkable case of pleural effusion
Um caso impressionante de derrame pleural
title A remarkable case of pleural effusion
spellingShingle A remarkable case of pleural effusion
Castelbranco-Silva, Ana
Imaging Cases
title_short A remarkable case of pleural effusion
title_full A remarkable case of pleural effusion
title_fullStr A remarkable case of pleural effusion
title_full_unstemmed A remarkable case of pleural effusion
title_sort A remarkable case of pleural effusion
author Castelbranco-Silva, Ana
author_facet Castelbranco-Silva, Ana
Ferreira, Filipa A.
Calhau, Paulo
author_role author
author2 Ferreira, Filipa A.
Calhau, Paulo
author2_role author
author
dc.contributor.author.fl_str_mv Castelbranco-Silva, Ana
Ferreira, Filipa A.
Calhau, Paulo
dc.subject.por.fl_str_mv Imaging Cases
topic Imaging Cases
description Tuberculosis is rare in pediatric age but remains an issue in populations with risk factors. A new pediatric diagnosis frequently reflects a recent infection in the community. Herein is reported the case of an adolescent with prolonged but well-tolerated dyspnea, anorexia, fever, and night sweats, whose radiograph showed a massive pleural effusion. Pleural fluid analysis was compatible with pleural TB, and pleural biopsy confirmed the diagnosis. Pleural fluid polymerase chain reaction was later positive for Mycobacterium tuberculosis, and interferon-gamma release assay was also positive.
publishDate 2022
dc.date.none.fl_str_mv 2022-06-30T00:00:00Z
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv https://doi.org/10.25753/BirthGrowthMJ.v31.i2.23700
url https://doi.org/10.25753/BirthGrowthMJ.v31.i2.23700
dc.language.iso.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv 2183-9417
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.publisher.none.fl_str_mv Centro Hospitalar Universitário do Porto
publisher.none.fl_str_mv Centro Hospitalar Universitário do Porto
dc.source.none.fl_str_mv reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação
instacron:RCAAP
instname_str Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação
instacron_str RCAAP
institution RCAAP
reponame_str Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
collection Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
repository.name.fl_str_mv Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação
repository.mail.fl_str_mv
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