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Author Ballouhey, Quentin ♦ Lau, Susanne ♦ Accadbled, Franck ♦ Wahn, Ulrich ♦ Kaiser, Dirk ♦ Rothe, Karin ♦ Magdorf, Klaus
Source J-STAGE
Content type Text
Publisher The Editorial Committee of Annals of Thoracic and Cardiovascular Surgery
Language English
Subject Keyword tuberculosis ♦ pneumothorax ♦ cavitations
Abstract Surgical management of tuberculosis is uncommon in children. We report a case of a 14-month-old boy with miliary tuberculosis and recurrent pneumothorax due to cavities in the left lung. This boy had no previous medical history and was referred to our hospital for a severe pneumonia. Initial chest radiograph showed bilateral miliary pattern. Direct microscopy of gastric lavage showed the presence of tubercle bacilli, providing definitive diagnosis. In spite of effective medication, his status rapidly worsened. A cardiac resuscitation was followed by intubation, and he required high-pressure ventilation for four weeks. He developed left pneumothorax, for which several drainages were performed. Computed tomography revealed a huge cavern system involving the entire lingula and surrounded by the left pneumothorax. Eventually, a massive enlargement of the initial cavity necessitated a thoracotomy and wedge resection.
ISSN 13411098
Learning Resource Type Report
Publisher Date 2012-08-20
e-ISSN 21861005
Journal Annals of Thoracic and Cardiovascular Surgery(atcs)
Volume Number 18
Issue Number 4
Page Count 4
Starting Page 355
Ending Page 358


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