A diagnosis to remember during the COVID-19 pandemic
DOI:
https://doi.org/10.25753/BirthGrowthMJ.v31.i3.24577Keywords:
adolescent, cavitation, hemoptoic cough, pleuritic thoracalgia, Tuberculosis in childrenAbstract
Tuberculosis is an infectious and slowly progressive disease caused by Mycobacterium tuberculosis, affecting mainly the pulmonary system. Symptoms of pulmonary tuberculosis include cough with production of scanty sputum, hemoptysis, and dyspnea and chest pain in advanced stages.
When assessing adolescents with suspected tuberculosis, the workup should include a combination of detailed history and physical examination, as well as radiological and microbiological tests. The recommended drug therapy is a combination of isoniazid, rifampicin, pyrazinamide, and ethambutol.
Early diagnosis and intervention are crucial for good outcomes. This case is a reminder that improvements in prevention and diagnosis are warranted.
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References
Marais B, Schaaf H. Childhood tuberculosis: an emerging and previously neglected problem. Infect Dis Clin North Am Actions 2010; 24: 727-49.
Snow K, Cruz A, Seddon J, Ferrand R, Chiang S, Hughes J, et al. Adolescent tuberculosis. The Lancet Child & Adolescent Health 2020; 4: 68–79.
UpToDate [Internet]. Tuberculosis disease in children [cited February 18, 2020]. Available from: https://www.uptodate.com/contents/tuberculosis-disease-in-children.
Schaaf S, Marais BJ, Carvalho I, Seddon J. Challenges in childhood tuberculosis. Tuberculosis. European Respiratory Society; 2018; 14: 234-62.
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Copyright (c) 2022 Inês Azevedo, Francisca Strecht Guimarães, Joana Cardoso, Isabel Carvalho
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