Miliary tuberculosis mimicking COVID-19 multisystemic inflammatory syndrome in children

被引:0
作者
Kolsi, Roeya [1 ,2 ]
Ammar, Mariem [1 ]
Sfaihi, Lamia [1 ]
Charfi, Fatma [1 ]
Maaloul, Ines [1 ]
Kammoun, Thouraya [1 ]
机构
[1] Hedi Chaker Hosp, Sfax Med Sch, Dept Pediat, Sfax, Tunisia
[2] Hedi Chaker Hosp, Dept Pediat, AHU, EI Ain St Km 0-5, Sfax 3029, Tunisia
来源
ARCHIVES DE PEDIATRIE | 2023年 / 30卷 / 07期
关键词
Pediatrics; Tuberculosis; Miliary tuberculosis; Tuberculoma;
D O I
10.1016/j.arcped.2023.08.003
中图分类号
R72 [儿科学];
学科分类号
100202 ;
摘要
Miliary tuberculosis (TB) is a severe form of disseminated TB. In pediatrics, many cases are missed because the symptomatology of TB mimics common childhood diseases. We present the case of a 6-year-old girl with no remarkable history who had recurrent fever for 3 months. She was initially diagnosed with, and treated for, refractory multisystem inflammatory syndrome in children (MIS-C). When the study was extended to other differential diagnoses, thoraco-abdominopelvic computed tomography revealed miliary pulmonary nodules in addition to lymph nodes and spleen lesions. Magnetic resonance imaging of the brain revealed multiple tuberculomas. The tuberculin test results were positive. The course of the disease was favorable under quadruple therapy. (c) 2023 French Society of Pediatrics. Published by Elsevier Masson SAS. All rights reserved.
引用
收藏
页码:521 / 523
页数:3
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