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Miliary tuberculosis mimicking COVID-19 multisystemic inflammatory syndrome in children
Roeya Kolsi1, Mariem Ammar1, Lamia Sfaihi1
1Sfax Medical School, Department of Pediatrics, Hedi Chaker Hospital, Sfax, Tunisia.
Abstract:
Miliary tuberculosis (TB) is a severe form of disseminated TB. In pediatrics, many cases are missed because the symptomatology of TB mimics common childhood diseases. We present the case of a 6-year-old girl with no remarkable history who had recurrent fever for 3 months. She was initially diagnosed with, and treated for, refractory multisystem inflammatory syndrome in children (MIS-C). When the study was extended to other differential diagnoses, thoraco-abdominopelvic computed tomography revealed miliary pulmonary nodules in addition to lymph nodes and spleen lesions. Magnetic resonance imaging of the brain revealed multiple tuberculomas. The tuberculin test results were positive. The course of the disease was favorable under quadruple therapy.
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