title: Pulmonary and ileal tuberculosis presenting as Fever of undetermined origin.
abstract: A 12-year-old girl presented with prolonged fever with no obvious focus on either history or clinical examination. High-resolution computerized tomography of the chest revealed the 'tree-in-bud' sign in the right lung and necrotic mediastinal lymph nodes. Barium meal showed multiple ileal strictures. The child was treated with anti-tuberculous therapy for six months. At follow-up six months later, the child had gained weight and had no signs of intestinal obstruction. Tuberculosis is a common cause of fever of undetermined origin and should be investigated for especially in countries with a high prevalence.
authors.affiliation: Fellow, Department of Neonatology, G S Medical College & KEM Hospital , Parel, Mumbai, India .
authors.forename: Gajanan
authors.initials: G
authors.lastname: Surewad
authors.affiliation: Professor & Head, Department of Pulmonary Medicine, ESI-PGIMSR & MGM Hospital , Parel, Mumbai, India .
authors.forename: Ivona
authors.initials: I
authors.lastname: Lobo
authors.affiliation: Professor & Head, Department of Paediatrics, ESI-PGIMSR & MGM Hospital , Parel, Mumbai, India .
authors.forename: Preeti
authors.initials: P
authors.lastname: Shanbag
keywords: Gastro-intestinal; Tree-in-bud sign; Tuberculosis