A diagnosis to remember during the COVID-19 pandemic





adolescent, cavitation, hemoptoic cough, pleuritic thoracalgia, Tuberculosis in children


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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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.




How to Cite

Azevedo I, Strecht Guimarães F, Cardoso J, Isabel Carvalho. A diagnosis to remember during the COVID-19 pandemic. REVNEC [Internet]. 2022Oct.19 [cited 2024Mar.4];31(3):321-3. Available from: https://revistas.rcaap.pt/nascercrescer/article/view/24577