A case of disseminated miliary tuberculosis in a five-year-old child.
A five-year old girl was referred, by the local area medical officer, as she had a positive Mantoux test and a chest x-ray consistent with miliary tuberculosis. She had initially been identified three months previously as a contact of a case of open pulmonary tuberculosis. A CT scan of the brain at the time of presentation showed multiple intracranial tuberculomae. A CT Brain scan three months into the treatment regime showed a significant reduction in the number and size of nodules indicating a favourable response to treatment. This case emphasises the importance of rapid tracing of paediatric tuberculosis contacts, if serious complications and their consequences are to be avoided.
Drew
R J
RJ
Children's University Hospital, Temple Street, Dublin. richardjdrew@hotmail.com
Tarrant
A
A
Cafferkey
M
M
Hensey
O
O
D002675:Child, Preschool; D005260:Female; D006801:Humans; D012307:Risk Factors; D014391:Tuberculosis, Miliary / Q000175:diagnosis* / Q000473:pathology / Q000635:transmission; D014397:Tuberculosis, Pulmonary / Q000473:pathology