Pulmonary tuberculosis in a child presenting with acute hemoptysis.
We report on a tuberculous child whose only presenting symptom was acute hemoptysis. His chest radiograph revealed a mass-like lesion occupying the posterior basal segment of the right lower lung field. Multidetector computerized tomography (MDCT) of the chest showed a hypodense mass supplied by the bronchial artery and drained by the pulmonary vein. Surgical specimens revealed caseating granulomatous inflammation, positive for acid-fast bacilli. The child was successfully treated with a short-course (6-month) regimen of antituberculous drugs.
Teeratakulpisarn
Jamaree
J
Department of Pediatrics, Faculty of Medicine, Khon Kaen University, Khon Kaen 40002, Thailand. jamtee@kku.ac.th
Srinakarin
Jiraporn
J
Tontisirin
Cherdchai
C
Lumbiganon
Pagakrong
P
Mitchai
Jumphol
J
D000208:Acute Disease; D000995:Antitubercular Agents / Q000627:therapeutic use; D002675:Child, Preschool; D006469:Hemoptysis / Q000209:etiology* / Q000601:surgery; D006801:Humans; D008297:Male; D010349:Patient Compliance; D013902:Radiography, Thoracic; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome; D014397:Tuberculosis, Pulmonary / Q000150:complications / Q000175:diagnosis* / Q000188:drug therapy / Q000601:surgery
D000995:Antitubercular Agents