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Tuberculosis in an infant with Hirschsprung-associated enterocolitis: a case report
Yue Song1,2, Changqiang Yang3, Hua Wang1,2
1Department of Pediatrics, West China Second University Hospital, Sichuan University, Chengdu, China.
The Journal of International Medical Research
|September 23, 2021
Summary
Hirschsprung-associated enterocolitis (HAEC) can be complicated by tuberculosis (TB). Early TB diagnosis and treatment significantly improved outcomes for a pediatric HAEC patient with atypical TB symptoms.
Area of Science:
- Pediatric Surgery
- Infectious Diseases
- Radiology
Background:
- Hirschsprung-associated enterocolitis (HAEC) is a severe complication in Hirschsprung disease.
- Atypical tuberculosis (TB) presents a diagnostic challenge, especially in conjunction with HAEC.
Observation:
- A 4-month-old infant with Hirschsprung disease developed enterocolitis post-surgery.
- Initial antibiotic treatment failed; the patient presented with fever and incidental pulmonary nodules on abdominal radiography.
Findings:
- The pulmonary nodules suggested an underlying TB infection.
- Anti-TB therapy led to complete resolution of the patient's enterocolitis and fever.
Implications:
- This case highlights the importance of considering TB in HAEC patients with persistent or atypical symptoms.
- Prompt diagnosis and management of TB are crucial for improving prognosis in children with HAEC.
Keywords:
Hirschsprung-associated enterocolitisacute miliary tuberculosisantibioticfeverinfantpulmonary noduleMore Related Videos
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