Pulmonary and Ileal Tuberculosis Presenting as Fever of Undetermined Origin

A 12-year-old girl presented with prolonged fever with no obvious focus on either history or clinical examination. High-resolution computerized tomography of the chest revealed the ‘tree-in-bud’ sign in the right lung and necrotic mediastinal lymph nodes. Barium meal showed multiple ileal strictur...

Full description

Bibliographic Details
Main Authors: Gajanan Surewad, Ivona Lobo, Preeti Shanbag
Format: Article
Language:English
Published: JCDR Research and Publications Private Limited 2014-10-01
Series:Journal of Clinical and Diagnostic Research
Subjects:
Online Access:https://jcdr.net/articles/PDF/4998/9695_CE(Ra)_F(Sh)_PF1(PAK)_PFA(AK)_PF2(PAG).pdf
Description
Summary:A 12-year-old girl presented with prolonged fever with no obvious focus on either history or clinical examination. High-resolution computerized tomography of the chest revealed the ‘tree-in-bud’ sign in the right lung and necrotic mediastinal lymph nodes. Barium meal showed multiple ileal strictures. The child was treated with anti-tuberculous therapy for six months. At follow-up six months later, the child had gained weight and had no signs of intestinal obstruction. Tuberculosis is a common cause of fever of undetermined origin and should be investigated for especially in countries with a high prevalence.
ISSN:2249-782X
0973-709X