Tuberculosis of the endothoracic fascia.
A 13-year-old boy presented with a history of respiratory infection that had progressed for 3 months. A chest X-ray showed pathological findings that suggested endothoracic fascia compromise (Skarby sign). The thorax computerized axial tomography scan revealed multiple opacities in the fascia. A biopsy was performed, and a pathological lymph node with caseous material was obtained. Thirty days later, Mycobacterium tuberculosis var. hominis was obtained from the culture. The diagnosis of tuberculosis of the endothoracic fascia was confirmed. Treatment included 9 months with isoniacide and rifampin, and 2 months with pirazynamide and streptomycin, with excellent response. Vitamin B6 was added.
Pulmonary Section, Pediatric Service, Department of Maternal-Infant Care, National Hospital Professor Alejandro Posadas, Buenos Aires, Argentina. brogliabeatriz@hotmail.com
Beatriz
B
Broglia
Elsa
E
Bisero
Liliana
L
Sclavo
Patricia
P
Andreozzi
D000293:Adolescent; D002114:Calcinosis; D018450:Disease Progression; D005205:Fascia / Q000382:microbiology; D006801:Humans; D008297:Male; D010994:Pleura / Q000473:pathology; D014057:Tomography, X-Ray Computed; D014396:Tuberculosis, Pleural / Q000175:diagnosis* / Q000000981:diagnostic imaging / Q000188:drug therapy