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Two cases of pulmonary tuberculosis presenting with unilateral pulmonary hyperinflation in infancy
B Niggemann1, U Klettke, K Magdorf
1University Children's Hospital (KAVH), Div. of Paediatric Pneumology and Immunology, Berlin, Germany.
Unlabelled:
Two infants with recurrent obstructive symptoms attracted attention because of massive radiologically detected unilateral pulmonary hyperinflation. Further diagnostic procedures including bronchoscopy, revealed a pulmonary tuberculosis with lymph nodes encroaching on the bronchi. Steady improvement of clinical symptoms and hyperinflation was noted under combined antituberculotic therapy including systemic steroids.
Conclusion:
Our two cases demonstrate that the differential diagnosis of unilateral pulmonary hyperinflation and wheezing in infancy should consider valvular stenosis by encroaching lymph node due to pulmonary tuberculosis.