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Updated: Mar 25, 2026
03:47
A Retrospective Study on Endoscopic Surgery for the Treatment of Paravertebral Abscess in Spinal Tuberculosis Patients
Published on: October 25, 2024
749
[Unilateral to bilateral pleurisy: Pleural tuberculosis?]
S Ben Ameur1, S Smaoui2, F Kamoun1
1Service de pédiatrie, CHU Hédi-Chaker, Sfax, Tunisie; Faculté de médecine de Sfax, Sfax, Tunisie.
Summary
This case highlights tuberculosis in a young child presenting with pleural effusion. Early diagnosis and treatment are crucial for favorable outcomes in pediatric pleural tuberculosis.
Area of Science:
- Pediatrics
- Infectious Diseases
- Pulmonology
Background:
- Pleural tuberculosis is a common extrapulmonary form, often causing pleural effusion.
- It is typically seen in children over 10 years old, being rare in infants.
Observation:
- A 19-month-old girl presented with prolonged fever and unilateral pleural effusion.
- Initial diagnostic tests, including tuberculin skin test and PCR GeneXpert, were negative.
- Despite initial antibiotic treatment and apparent improvement, bilateral pleural effusion recurred.
Findings:
- Pleural fluid analysis showed lymphocytic exudate.
- Despite negative initial molecular tests, pleural fluid culture confirmed Mycobacterium tuberculosis.
- The child responded well to standard anti-tuberculosis treatment.
Implications:
- This case underscores the importance of considering tuberculosis in young children with unexplained pleural effusion, even with negative initial tests.
- Diagnostic challenges in pediatric pleural tuberculosis necessitate a high index of suspicion and appropriate microbiological investigations.
- Prompt initiation of anti-tuberculosis therapy is vital for managing pediatric pleural tuberculosis and ensuring positive patient outcomes.
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