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ISSN: 0031-3939
Pediatria Polska - Polish Journal of Paediatrics
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2/2020
vol. 95
 
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Opis przypadku

Pneumonia or tuberculosis? A case report in a teenage girl

Paweł Zapolnik
1
,
Andrzej Pogorzelski
2
,
Beata Zapolnik
3

1.
Students’ Scientific Association of Clinical Genetics, Department of Clinical Genetics, Medical College, University of Rzeszów, Rzeszów, Poland
2.
Department of Pneumology and Cystic Fibrosis, Institute of Tuberculosis and Lung Diseases, Rabka-Zdrój, Poland
3.
Department of Allergology and Cystic Fibrosis, Clinical Regional Hospital No. 2 in Rzeszów, Rzeszów, Poland
Pediatr Pol 2020; 95 (2): 137–140
DOI: https://doi.org/10.5114/polp.2020.97082
Data publikacji online: 2020/07/10
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Tuberculosis (TB) is still a common infectious disease worldwide. In 2018, seven million new cases of TB were reported to the World Health Organization. The diagnosis of TB in children is difficult due to non-characteristic symptoms. A 14-year-old girl presented to a general practitioner due to coughing and general weakness for three weeks. Physical examination revealed a reduction in vesicular murmur over a significant area of the right lung, and chest X-ray showed extensive densities in the right lung. After several days of hospitalisation and antibiotic therapy for bacterial pneumonia, the girl was diagnosed with TB. A treatment plan was applied for six months. Radiological and clinical improvement was observed after the therapy. A detailed history, determining contact with the TB patient, physical examination, results of additional tests, and broad-spectrum antibiotics response are essential for diagnosis.