MRI findings on extrapulmonary tuberculosis in a pediatric patient
Abstract
Pulmonary tuberculosis is the most common in children and its extrapulmonary manifestations are present in 30% to 40% of cases.
We present the case of an indigenous girl with disseminated tuberculosis: pulmonary, brain, medullary, and musculoskeletal with substantial neurodevelopmental sequelae.
This case exemplifies the spectrum of pediatric extrapulmonary tuberculosis in endemic developing countries. Furthermore, it shows the severity of highly disabling neurological complications and stresses the importance of radiological imaging in guiding diagnostic suspicion of extrapulmonary involvement.
Downloads
References
Kritsaneepaiboon S, Andres MM, Tatco VR, Lim CC, Concepcion ND. Extrapulmonary involvement in pediatric tuberculosis. Pediatr Radiol. 2017;47:1249-59. https://doi.org/10.1007/s00247-017-3867-0
Yánez-Lema G, Toapanta-Guayta B, Ramírez-Jaramillo E, Zambrano-Leal M. Tuberculosis meníngea en un paciente pediátrico: reporte de un caso clínico. Rev Ecuatoriana Neurología. 2021;30:218-22. https://doi.org/10.46997/revecuatneurol30100218
Sepúlveda EF, Yunda LI, Herrera KM, Moreno G. Extrapulmonary tuberculosis in Colombian children: Epidemiological and clinical data in a reference hospital. Int J Mycobacteriol. 017;6:132. https//doi.org/10.4103/ijmy.ijmy_65_17
Martínez L, Vázquez S, Flóres M de LM, Notejane M, Zabala C, Giachetto G, et al. Tuberculosis extra-pulmonar en niños bajo 15 años de edad internados en el Centro Hospitalario Pereira Rossell, Uruguay. Rev Chilena Infectol. 2020;37:577-83. https//doi.org/10.4067/S0716-10182020000500577
Lewinsohn DM, Leonard MK, LoBue PA, Cohn DL, Daley CL, Desmond E, et al. Official American Thoracic Society/Infectious Diseases Society of America/Centers for Disease Control and PreventionClinical Practice Guidelines: Diagnosis of tuberculosis in adults and children. Clin Infect Dis. 2017;64:e1-33. https://academic.oup.com/cid/article/64/2/111/2811357
Niederbacher-Velásquez J. Tuberculosis extrapulmonar en niños. Neumol Pediatr. 2015;10:160-8.
Rodríguez-Takeuchi SY, Renjifo ME, Medina FJ. Extrapulmonary tuberculosis: Pathophysiology and imaging findings. Radiographics. 2019;39:2023-37. https://doi.org/10.1148/rg.2019190109
Gray-Lugo M, Cedi-Zamudio S, Guerrero-Avendaño GM, Gómez-Apo E. Espectro imagenológico de la tuberculosis en el sistema nervioso central. An Radiol México. 2017;15:294-307.
Mezochow A, Thakur K, Vinnard C. Tuberculous meningitis in children and adults: New insights for an ancient foe. Curr Neurol Neurosci Rep. 2017;17. https//doi.org/10.1007/s11910-017-0796-0
Kilborn T, van Rensburg PJ, Candy S. Pediatric and adult spinal tuberculosis: Imaging and pathophysiology. Neuroimaging Clin N Am. 2015;25:209-31. https//doi.org/10.1016/j.nic.2015.01.002
Some similar items:
- Nelsy Loango, Martha Lucía Gallego, Beatriz Restrepo, Patricia Landázuri, Gender, age and plasma lipids differences associated with apolipoprotein E polymorphism in school children , Biomedica: Vol. 29 No. 3 (2009)
- Rosa Magdalena Uscátegui, Adriana M. Correa, Jaime Carmona-Fonseca, Changes in retinol, hemoglobin and ferritin concentrations in Colombian children with malaria , Biomedica: Vol. 29 No. 2 (2009)
- Juan Gabriel Bueno-Sánchez, Jairo René Martínez-Morales, Elena E. Stashenko, Wellman Ribón, Anti-tubercular activity of eleven aromatic and medicinal plants occurring in Colombia , Biomedica: Vol. 29 No. 1 (2009)
- Andrés Leonardo González, Ruth Aralí Martínez, Luis Ángel Villar, Clinical evolution of dengue in hospitalized patients , Biomedica: Vol. 28 No. 4 (2008)
- María Consuelo Garzón, Dailyn Yorledy Angée, Claudia Llerena, Dora Leticia Orjuela, Jorge Ernesto Victoria, Surveillance of Mycobacterium tuberculosis resistance to antituberculosis drugs , Biomedica: Vol. 28 No. 3 (2008)
- Elpidia Poveda, Diana Giraldo, Yibby Forero, Carlos Mendivil, Self-reported physical activity in comparison with anthropometric body fat indicators in school children , Biomedica: Vol. 28 No. 3 (2008)
- Elsa Villarreal, Yibby Forero, Elpidia Poveda, César Baracaldo, Elizabeth López, Cardiovascular risk markers in schoolchildren from five provinces of eastern Colombia , Biomedica: Vol. 28 No. 1 (2008)
- Elpidia Poveda, Ney E. Callas, César M. Baracaldo, Carlina Castillo, Patricia Hernández, Leptin levels in school age children associated with anthropometric measurements and lipid profiles , Biomedica: Vol. 27 No. 4 (2007)
- Diego Chaves, Andrea Sandoval, Luis Rodríguez, Juan C. García, Silvia Restrepo, María Mercedes Zambrano, Comparative analysis of six Mycobacterium tuberculosis complex genomes , Biomedica: Vol. 30 No. 1 (2010)
- María Imaz, Sonia Allassia, Mónica Aranibar, Alba Gunia, Susana Poggi, Ana Togneri, Lidia Wolff, Group of Implementation of Fluorescence, Performance of LED fluorescence microscopy for the detection of acid-fast bacilli from respiratory samples in peripheral laboratories in Argentina , Biomedica: Vol. 37 No. 2 (2017)
| Article metrics | |
|---|---|
| Abstract views | |
| Galley vies | |
| PDF Views | |
| HTML views | |
| Other views | |
