title: A 14-year-old girl presenting with tuberculous intestinal perforation while in a temporary shelter after the 2015 earthquake in Nepal.
abstract: A 14-year-old Nepalese girl presented with fever, abdominal pain and vomiting. She was living with her family in a temporary settlement camp following the earthquake in Nepal in 2015. She had had abdominal pain for 2 months and fever for 1 month. Abdominal examination suggested acute peritonitis. At laparotomy, three ileal perforations were detected and histopathology demonstrated caseous granulomas. Her father had sputum-positive pulmonary tuberculosis. She was diagnosed with abdominal tuberculosis and responded well to anti-tuberculosis chemotherapy. Intestinal perforation is a rare complication of tuberculosis in children.
authors.affiliation: a Siddhi Memorial Hospital , Bhaktapur , Nepal.
authors.forename: Dhruba
authors.initials: D
authors.lastname: Shrestha
authors.affiliation: a Siddhi Memorial Hospital , Bhaktapur , Nepal.|b Kathmandu Model Hospital , Kathmandu , Nepal.
authors.forename: Manoj Krishna
authors.identifier: 0000-0003-1435-3766
authors.initials: MK
authors.lastname: Shrestha
authors.affiliation: a Siddhi Memorial Hospital , Bhaktapur , Nepal.
authors.forename: Ganendra Bhakta
authors.identifier: 0000-0001-6392-3134
authors.initials: GB
authors.lastname: Raya
authors.affiliation: c International Vaccine Institute , Seoul , Korea.
authors.forename: Anuj
authors.initials: A
authors.lastname: Bhattachan
authors.affiliation: d Institute of Tropical Medicine, Nagasaki University , Nagasaki , Japan.
authors.forename: Kentaro
authors.initials: K
authors.lastname: Hayashi
authors.affiliation: d Institute of Tropical Medicine, Nagasaki University , Nagasaki , Japan.|e School of Biomedical Sciences, Nagasaki University , Nagasaki , Japan.
authors.forename: Koya
authors.initials: K
authors.lastname: Ariyoshi
authors.affiliation: f School of Tropical Medicine and Global Health, Nagasaki University , Nagasaki , Japan.|g London School of Hygiene and Tropical Medicine , London , UK.
authors.forename: Christopher M
authors.initials: CM
authors.lastname: Parry
authors.affiliation: f School of Tropical Medicine and Global Health, Nagasaki University , Nagasaki , Japan.
authors.forename: Bhim Gopal
authors.identifier: 0000-0001-5279-2044
authors.initials: BG
authors.lastname: Dhoubhadel
mesh_terms: D000293:Adolescent; D000995:Antitubercular Agents / Q000008:administration & dosage; D055866:Earthquakes; D005260:Female; D006651:Histocytochemistry; D006801:Humans; D007416:Intestinal Perforation / Q000175:diagnosis* / Q000188:drug therapy / Q000473:pathology*; D007813:Laparotomy; D008853:Microscopy; D009390:Nepal; D011860:Radiography, Abdominal; D016896:Treatment Outcome; D014385:Tuberculosis, Gastrointestinal / Q000150:complications*
chemical_list: D000995:Antitubercular Agents
keywords: Intestinal perforation; Nepal; children; earthquake; peritonitis; tuberculosis