A remarkable case of pleural effusion

Authors

  • Ana Castelbranco-Silva Department of Pediatrics, Hospital Garcia de Orta https://orcid.org/0000-0002-9560-7635
  • Filipa A. Ferreira Department of Pediatrics, Hospital de Santa Maria, Centro Hospitalar de Lisboa Norte https://orcid.org/0000-0003-2067-4988
  • Paulo Calhau Department of Pediatrics, Hospital Garcia de Orta

DOI:

https://doi.org/10.25753/BirthGrowthMJ.v31.i2.23700

Keywords:

dyspnea, pleural effusion, pulmonary atelectasis, tuberculosis

Abstract

Tuberculosis is rare in pediatric age but remains an issue in populations with risk factors. A new pediatric diagnosis frequently reflects a recent infection in the community. Herein is reported the case of an adolescent with prolonged but well-tolerated dyspnea, anorexia, fever, and night sweats, whose radiograph showed a massive pleural effusion. Pleural fluid analysis was compatible with pleural TB, and pleural biopsy confirmed the diagnosis. Pleural fluid polymerase chain reaction was later positive for Mycobacterium tuberculosis, and interferon-gamma release assay was also positive.

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References

Frye MD, Huggins JT. Tuberculous pleural effusion. In Baron EL, ed. UpToDate. Retrieved September 5, 2018, from https://www.uptodate.com/contents/tuberculous-pleural-effusion.

Adams LV, Starke JR. Tuberculosis disease in children. In Baron EL, ed. UpToDate. Retrieved September 5, 2018, from www.uptodate.com/contents/tuberculosis-disease-in-children.

Carvalho A, Carvalho I, Marques L, Pereira L, Brito MJ, Duarte R - Grupo de trabalho da Sociedade Portuguesa de Pediatria e Sociedade Portuguesa de Pneumologia. Consensus about the management of the child exposed to a patient with tuberculosis. Acta Pediatr Port 2014;45:242-51.

Silva TM, Francisco T, Varandas L, Brito MJ. Tuberculose extrapulmonar em pediatria: um desafio diagnóstico. RPDI - Revista Portuguesa de Doenças Infecciosas 2016; 12(3): 125-30.

Hatzenbuehler LA, Starke JR. Tuberculosis (Mycobacterium tuberculosis). In: Kliegman RM, Stanton BF, St Geme JW, Schor NF. Nelson Textbook of Pediatrics. 20th ed. Elsevier; 2016. p.1445-1461.

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Published

2022-06-30

How to Cite

1.
Castelbranco-Silva A, Ferreira FA, Calhau P. A remarkable case of pleural effusion. REVNEC [Internet]. 2022Jun.30 [cited 2023Sep.27];31(2):175-7. Available from: https://revistas.rcaap.pt/nascercrescer/article/view/23700

Issue

Vol. 31 No. 2 (2022)

Section

Imaging Cases

License

Copyright (c) 2022 Ana Castelbranco-Silva

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