Concomitant pediatric abdominal and pulmonary tuberculosis

A 10-year-old boy was referred from a local clinic to our institute due to abdominal fullness and ascites. He gained 4  kg in 4 months, despite reduced appetite. After admission, chest radiograph revealed bilateral pleural effusion with atelectasis and increased infiltration of bilateral lower lobes (Fig. 1A). Tachypnea and fever developed (Fig. 1B). Paracentesis yielded straw-colored ascites with leukocyte count of 1410 cells/mm3. with a relative lymphocytic pleocytosis (98%). Abdominal computer tomography (CT) scan showed massive ascites, thickening of omentum and peritoneum, associated with lymphadenopathy (Fig. 2A).

Source: Pediatrics and Neonatology - July 10, 2019 Category: Perinatology & Neonatology Authors: Hsin-Ching Kuo, Solomon Chih-Cheng Chen, Hsin-Kai Lin, Shu-Ti Chia, Joseph-Hang Leung Tags: Images Source Type: research