PULMONARY TUBERCULOSIS IN A 2.5 YEAR OLD CHILD WITH IMPRESSION OF BIRD FLU

Abstract

BACKGROUND AND OBJECTIVE: Pulmonary tuberculosis in children is potentially lethal infection and may induce several discomforts for children. The disorder presents with various clinical manifestations and occasionally with bacterial or viral pneumonia pictures. The goal of this study was to consider pulmonary tuberculosis in all patients with febrile pulmonary disease. CASE: A 2.5 year old girl with chief complaints of fever and cough 10 days prior to admission that was worsened since 3 days ago referred to Amirkola hospital. Also a piece of dried fruit shell has been extracted from her lung 8 months ago, but did not have complete improvement. Two days prior to admission over one thousand hens died due to bird flu in her house. Chest x-ray revealed presentations like pneumonia, but pneumonia did not response to antibacterial and antiviral drugs and blood and sputum cultures were negative, PPD skin test was done with 20 millimeter induration, and gastric juice staining for mycobacterial bacilli was done that was positive, thus she improved with anti-tuberculosis drugs.CONCLUSION: Pulmonary tuberculosis can present with several unusual pictures and if represent acutely must be differentiated from bacterial or viral pneumonia.

Keywords

• pulmonary tuberculosis
• bird flu
• pneumonia
• children