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Related Experiment Video

Updated: Nov 1, 2025

Calcification of Vascular Smooth Muscle Cells and Imaging of Aortic Calcification and Inflammation
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Child with hard calcified abdomen.

Riddhi Jaiswal1, Deval Brajesh Dubey1

  • 1Department of Pathology, King George's Medical University, Lucknow, 226003, UP, India.

Idcases
|June 25, 2021
PubMed
Summary

A child

Area of Science:

  • Pediatrics
  • Infectious Diseases
  • Radiology

Background:

  • Tuberculosis (TB) can present atypically in children.
  • Abdominal TB may mimic other serious conditions like lymphoma.

Observation:

  • A child presented with chronic abdominal pain and fever, initially suspected as lymphoma.
  • Imaging revealed miliary calcified lymph nodes and omental nodules.
  • Omental biopsy showed granulomas, but Ziehl Neelsen stain was negative.

Findings:

  • Despite initial misdiagnosis, the patient responded well to a six-month course of anti-tubercular drugs.
  • Treatment led to symptom resolution and improved health.
  • Cartridge-Based Nucleic Acid Amplification Test (CBNAAT) could not be performed due to a dry aspiration.
Keywords:
Calcified nodesGranulomaMiliary

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Implications:

  • This case highlights the importance of considering tuberculosis in pediatric abdominal conditions with non-specific symptoms.
  • Early diagnosis and treatment of abdominal TB are crucial for favorable outcomes.
  • Atypical presentations underscore the need for comprehensive diagnostic approaches in pediatric infectious diseases.