Near miss diagnosis of childhood tuberculosis.
Tuberculosis (TB) remains a public health problem in Malaysia. We describe three atypical cases of serious tuberculosis in children. The potential diagnostic pitfall in these cases is highlighted by its unusual presentation in a setting of culture-negative infection. A positive polymerase chain reaction (PCR) in each case assists in gauging the diagnosis in concordance with appropriate clinical findings.
Norlijah
O
O
Department of Pediatrics, Faculty of Medicine and Health Sciences, University Putra Malaysia, Serdang, Malaysia. nor@medic.upm.edu.my
Intan
H I
HI
Feizel
A M F
AM
Kasim
M S
MS
Noh
L M
LM
D001431:Bacteriological Techniques; D002675:Child, Preschool; D003937:Diagnosis, Differential; D005260:Female; D006801:Humans; D007223:Infant; D008296:Malaysia; D008297:Male; D009169:Mycobacterium tuberculosis / Q000235:genetics / Q000302:isolation & purification; D016133:Polymerase Chain Reaction; D011859:Radiography; D014397:Tuberculosis, Pulmonary / Q000175:diagnosis* / Q000000981:diagnostic imaging / Q000382:microbiology