J Korean Pediatr Soc.
1997 Apr;40(4):559-566.
A Case of Tuberculous Pneumonia in Infancy
- Affiliations
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- 1Department of Pediatrics, Catholic University Medical College, Seoul, Korea.
Abstract
- A rare but serious complication of tuberculosis in a child occurs when the primary infection is progressively destructive. It is difiicult to differentiate from other bacterial pneumonias. We experienced a case of tuberculous pneumonia in a 73-days-old male who presented with cough, fever and progressive dyspnea. Chest X-ray shows diffuse pneumonic consolidation on right upper lung field, Mantoux test was positive and his father was diagnosed with active pulmonary tuberculosis 2 months ago. We started antituberculous drugs: INH, RFP, PZA, SM and prednisolone. At 12 weeks after therapy, chest CT and percutaneous aspiration lung biopsy was performed due to worsening of X-ray findings. The diagnosis of tuberculous pneumonia was confirmed. He was treated with INH, RFP, PZA for 52 weeks. Short-term corticosteroid therapy and SM or KM was also used. The pneumonic consolidation was totally cleared and healed with fibrosis.
