Pediatria Polska

Abstract

2/2020 vol. 95
Case report

Pneumonia or tuberculosis? A case report in a teenage girl

  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
Online publish date: 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.
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