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Miliary Tuberculosis Complicated by Pulmonary Cavitations and Pneumothorax in a 14-Month Old Boy (Abstract)

Quentin Ballouhey¹ , Klaus Magdorf² , Susanne Lau³ , Ulrich Wahn³ , Dirk KAISER* , Karin ROTHE**

¹Department of Pediatric Surgery, Children’s Hospital, Toulouse, France

²Departments of Paediatrics, Helios Klinikum Emil von Behring, Standort Campus Benjamin Franklin Charité, Berlin, Germany

³Departments of Pediatric Pneumology and Allergy, Charité Campus Virchow, Berlin, Germany

*Department of Thoracic Surgery, Helios Klinikum Emil von Behring, Berlin, Germany

**Department of Pediatric Surgery, Charité Campus Virchow, Berlin, Germany



We report a case of a 14-month-old boy with miliary tuberculosis and recurrent pneumothorax due to cavitations of the left lung. He was admitted to hospital for a severe pneumonia and had to be ventilated with high pressure ventilation for about 4 weeks. He developed left pneumothorax for which several underwater chest drainages were performed. Finally, because of massive enlargement of the lung cavity, a thoracotomy was performed which revealed a 5x5 cm abscsessabscess cavity in the lung. Resection of the affected segment was done. In the postoperative period the child needed repeat chest intubation and prolonged steroid therapy but improved gradually. Histopathology confirmed the diagnosis of pulmonary tuberculosis

key words: tuberculosis, pneumothorax, cavitations



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