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Sago-grain nodules in tubercular pleural effusion.
Manoj Madhusudan1, Priyanka Potti1, Tejaswi Chandra2
1Department of Pediatric Interventional Pulmonology and Sleep Medicine, Aster CMI Hospital, Bengaluru, India.
Pediatric Pulmonology
|July 18, 2024
Summary
A 6-year-old boy
Area of Science:
- Pediatric Pulmonology
- Infectious Diseases
- Thoracic Surgery
Background:
- Pleural effusion in children can present with varied etiologies.
- Early diagnosis and management are crucial for favorable outcomes.
- Tuberculosis remains a significant cause of pleural disease globally.
Observation:
- A 6-year-old boy presented with prolonged chest pain and low-grade fever.
- Computed tomography (CT) scan showed a loculated left-sided pleural effusion.
- Medical thoracoscopy revealed characteristic "sago-grain" follicles on the parietal pleura.
Findings:
- Histopathological examination of pleural biopsy confirmed granulomatous inflammation.
- Microbiological studies identified Mycobacterium tuberculosis complex.
- Diagnosis of tubercular pleural effusion was established.
Implications:
- Highlights the importance of considering tuberculosis in pediatric pleural effusions.
- Demonstrates the diagnostic utility of medical thoracoscopy and biopsy.
- Emphasizes the need for prompt initiation of anti-tuberculosis treatment in pediatric cases.
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