title: Childhood tuberculosis diagnosed and managed as asthma: case report.
abstract: The worldwide incidence of tuberculosis (TB) has been increasing. Although its diagnosis is well established in adults, in children it is difficult due to its particular aspects. We report a 3 years and 8 month-old infant who experienced chronic wheezing, classified as moderate-to-severe asthma, had recurrent pneumonia, and was not responsive to management with beta adrenergic agents. Chest X-rays (CXR) showed heterogeneous condensation in medium lobe and the chest computerized-tomography scan (CCT) a heterogeneous increase in pulmonary transparency, like condensation in the same lobe. After four months of treatment with anti tuberculosis agents, a significant improvement in symptoms, normal CXR, absence of pulmonary medium lobe condensation, and persistence fibro-atelectatic band in lingula were observed.
authors.affiliation: Division of Allergy, Immunology and Rheumatology, Department of Pediatrics, Federal University of São Paulo-Escola Paulista de Medicina (UNIFESP/EPM), Rua dos Otonis 725, Vila Clementino, São Paulo, SP, CEP 04025-002, Brazil. cintialascala@uol.com.br
authors.forename: C S
authors.initials: CS
authors.lastname: Kurokawa La Scala
authors.forename: C R
authors.initials: CR
authors.lastname: La Scala
authors.forename: G F
authors.initials: GF
authors.lastname: Wandalsen
authors.forename: M C
authors.initials: MC
authors.lastname: Malozzi
authors.forename: C K
authors.initials: CK
authors.lastname: Naspitz
authors.forename: D
authors.initials: D
authors.lastname: Solé
mesh_terms: D000318:Adrenergic beta-Agonists / Q000627:therapeutic use*; D018927:Anti-Asthmatic Agents / Q000627:therapeutic use*; D000995:Antitubercular Agents / Q000627:therapeutic use; D001249:Asthma / Q000175:diagnosis*; D002675:Child, Preschool; D003937:Diagnosis, Differential; D003951:Diagnostic Errors; D006801:Humans; D008297:Male; D011014:Pneumonia / Q000150:complications; D012008:Recurrence; D012135:Respiratory Sounds; D014397:Tuberculosis, Pulmonary / Q000175:diagnosis* / Q000628:therapy
chemical_list: D000318:Adrenergic beta-Agonists; D018927:Anti-Asthmatic Agents; D000995:Antitubercular Agents