Mediastina Tuberculosisl mass in a three-month-old boy
Keywords:
Tuberculosis, mediastinal mass, wheezing, infantAbstract
Background: Mediastinal mass of tuberculous origin is exceedingly rare in infant.
Aim: to report an exceedingly rare case of mediastinal mass of tuberculous origin.
Case report: We report a three-month-old boy who presented a one month history of wheezing and persistent pneumopathy. Radiological investigations showed a large posterior mediastinal mass which infiltrates lungs. Thoracoscopic biopsy showed caseous necrosis with granuloma suggestive of tuberculosis. The outcome was favourable with antituberculous chemotherapy.
Conclusion: Mediatinal mass of tuberculous origin should considered in differential diagnosis of mediastinal masses in children
Downloads
References
Grosfeld JL, Skinner MA, Rescorla FJ, West KW, Scherer LR. Mediastinal tumors in children: experience with 196 cases. Ann Surg Oncol 1994; 1:121-127
Alborzi A, Pasyar N, Wald ER. Actinomycosis as a neglected diagnosis of mediastinal mass. Jpn J Infect Dis 2006; 59: 52-53
Nolt DN, Michael MG, Wald ER. Intrathoracic disease from non tuberculosis mycobacteria in children: two cases and a review of the literature. Pediatrics 2003;112: E434-E439
Kim WS, Choi JI, Cheon JE, Kim IO, Yeon KM, Lee HJ. Pulmonary tuberculosis in infants: Radiographic and CT finding. Am J Roentgenol 2006; 187: 124-133
Im JC, Song KS, Kang HS, et al. Mediastinal tuberculous lymphadenits : CT manifestations. Radiology 1987;164: 115-119
Thirithuvathas AJ, Ravikumar S, Gnanaseelan T. Huge prepericardial tuberculous abscess in a 2-year-old child. J Pediatr Surg 1989 ; 24:1124
De Ugarde DA, Shapiro NL, Williams HL.Tuberculosis mediastinal mass presenting with stridor in a 3 months-old child. J Pediatr surg 2003; 38: 624-625
Ahmed A, Mirza S, Rothera MP. Mediastinal tuberculosis in a 10- month-old child. J Laryngol Otol 2001;115:161-3.
Gillies MJ , Farrugia MK, Lakhoo K.An unusual cause of a superior mediastinal mass in an infant [abstract]. Ped Surg Int. Published Online First: 30 October 2007. Doi:10.1007/s00383- 007-2050-3
Hageman J, Shulman S, Schreiber M, Luck S, Yogev R. Congenital tuberculosis: critical reappraisal of clinical findings and diagnostic procedures. Pediatrics 1980; 66:980-84.