Related Experiment Video

Updated: Jul 28, 2025

Donor Posterior Atrial Flap Rotation for Left Atrial Cuff Reconstruction in Lung Transplantation
07:28

Donor Posterior Atrial Flap Rotation for Left Atrial Cuff Reconstruction in Lung Transplantation

Published on: October 11, 2024

392

Pulmonary tuberculosis complicating post patent ductus arteriosus ligation recovery: a case report

Uchenna Chinweokwu Onubogu1, Martha Elizabeth Okorie2

  • 1Department of Paediatrics and Child Health, Rivers State University Teaching Hospital, Port Harcourt, Rivers State, Nigeria.

The Pan African Medical Journal
|May 30, 2023
PubMed

Insights

Patent ductus arteriosus (PDA) and pulmonary tuberculosis (PTB) can present similarly in infants. Early diagnosis and treatment are crucial, especially in TB-endemic areas, to prevent severe complications.

Area of Science:

  • Pediatric Cardiology
  • Infectious Diseases
  • Pulmonology

Background:

  • Patent ductus arteriosus (PDA) beyond the neonatal period can mimic symptoms of pulmonary tuberculosis (PTB), including failure to thrive and recurrent pneumonia.
  • Coexistence of PDA and PTB can lead to severe adverse outcomes if not promptly diagnosed and managed.

Observation:

  • A 9-month-old female with a hemodynamically significant PDA underwent surgical ligation.
  • Postoperative recovery was complicated by initially unrecognized pulmonary tuberculosis, with symptoms misattributed to surgical complications.
  • Worsening respiratory symptoms and suggestive chest X-ray findings led to the diagnosis of PTB.

Findings:

  • The patient showed remarkable improvement with PTB treatment, including resolution of respiratory symptoms and adequate weight gain.
  • Diagnosing PTB in children can be challenging due to lower laboratory test yields compared to adults.
  • A combined approach using clinical, laboratory, and epidemiological data is essential for accurate diagnosis.

Implications:

  • Symptomatic congenital heart defects in children residing in TB-endemic regions require vigilant screening for coexisting pulmonary tuberculosis.
  • Missed or delayed diagnosis of PTB in pediatric cardiac patients can significantly impact treatment outcomes.
  • Integrated diagnostic strategies are vital for managing complex cases involving cardiac and infectious diseases in children.

Keywords:
Patent ductus arteriosuscase reportchildrencomorbiditytuberculosis

More Related Videos

A Pulmonary Trunk Banding Model of Pressure Overload Induced Right Ventricular Hypertrophy and Failure06:47

A Pulmonary Trunk Banding Model of Pressure Overload Induced Right Ventricular Hypertrophy and Failure

Published on: November 29, 2018

9.7K
The Left Pneumonectomy Combined with Monocrotaline or Sugen as a Model of Pulmonary Hypertension in Rats07:29

The Left Pneumonectomy Combined with Monocrotaline or Sugen as a Model of Pulmonary Hypertension in Rats

Published on: March 8, 2019

10.9K

Related Concept Videos

Pulmonary Tuberculosis II01:28

Pulmonary Tuberculosis II

Tuberculosis, or TB, is a bacterial infectious disease caused by Mycobacterium tuberculosis. While its primary impact is on the lungs, leading to pulmonary tuberculosis, it can also affect various other organs, a condition referred to as extrapulmonary tuberculosis.
Here is a detailed explanation of its pathophysiology:
Transmission: The process begins when a person inhales droplet nuclei containing M. tuberculosis. These are typically released into the air when an individual with pulmonary or...
282
Pulmonary Tuberculosis V01:28

Pulmonary Tuberculosis V

Medical management of tuberculosis (TB) patients involves a comprehensive approach that includes diagnosis, treatment, and monitoring. The specific strategies can vary depending on the type of tuberculosis (latent or active), the patient's overall health status, and other considerations.
Latent tuberculosis infection occurs when TB bacteria are present in a person's body, but are not causing illness or symptoms. It is not contagious, and preventive treatment is crucial to avoid the...
219
Pulmonary Tuberculosis I01:29

Pulmonary Tuberculosis I

Tuberculosis, often called TB, is a contagious illness primarily caused by Mycobacterium tuberculosis. It mainly affects the lung parenchyma but can also impact other body parts.
Causative Organism
The primary infectious agent causing tuberculosis is Mycobacterium tuberculosis, a slow-growing, acid-fast, aerobic rod that exhibits sensitivity to heat and ultraviolet light. Instances of Mycobacterium bovis and Mycobacterium avium contributing to the development of TB infection are rare.
Mode of...
293
Pulmonary Tuberculosis III01:31

Pulmonary Tuberculosis III

Tuberculosis (TB) is a contagious infection primarily affecting the lung parenchyma but which can also affect other body parts. TB can be classified based on disease development, presentation, and the affected anatomical site.
The first classification is based on the development of the disease, and it includes the following categories:
385
Pulmonary Tuberculosis IV01:26

Pulmonary Tuberculosis IV

Tuberculosis, more commonly referred to as TB, is an infectious disease stemming from Mycobacterium tuberculosis. While it primarily impacts the lungs, TB can also affect other body areas. Given its severity and global impact, timely and accurate diagnosis is crucial for controlling its spread and improving patient outcomes.
Several diagnostic approaches are used to detect TB. The conventional method is the Tuberculin Skin Test (TST), also known as the Mantoux test. However, this method has...
182
Pneumothorax-II01:27

Pneumothorax-II

Pneumothorax is a medical condition defined by the buildup of air in the pleural space between the lungs and the chest wall. This accumulation of air can lead to partial or complete lung collapse, resulting in a range of clinical manifestations. Understanding the clinical presentation and effective management strategies is crucial for healthcare professionals in providing timely and appropriate care to individuals with pneumothorax.
Clinical Manifestations:
222