Miliary Tuberculosis in a Two-Year-Old Child: A Case Report from a Low-Prevalence Region.

Gianluca Dini, Sara Ceccarelli, Barbara Vecchi, Federica Celi
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Abstract

Background: Tuberculosis (TB) remains the leading cause of death caused by a single infectious agent.

Objective: We report a case of miliary TB in a 2-year-old child who presented with a history of constipation, weight loss, marked abdominal distension with hepatosplenomegaly.

Case presentation: In children, TB often presents with a wide range of non-specific clinical and radiological manifestations, making diagnosis challenging, particularly in regions with low prevalence. We report the case of a two-year-old female with a history of constipation, weight loss, marked abdominal distension with hepatosplenomegaly, who was later diagnosed with miliary tuberculosis.

Conclusion: This case highlights an unusual presentation of miliary TB in a very young child, a demographic in which it is infrequently observed. Miliary TB remains a severe and potentially fatal condition, particularly when diagnosis and treatment are delayed. The diagnosis is usually made based on the clinical presentation, supported by a classic miliary pattern on chest X-ray.

1例2岁儿童军旅结核病:来自低流行地区的病例报告。
背景:结核病(TB)仍然是由单一传染病引起的主要死亡原因。目的:我们报告一个2岁儿童的军旅结核病例,他有便秘、体重减轻、明显腹胀和肝脾肿大的病史。病例表现:在儿童中,结核病通常表现为广泛的非特异性临床和放射学表现,使诊断具有挑战性,特别是在低患病率地区。我们报告的情况下,两岁的女性便秘,体重减轻,明显腹胀与肝脾肿大的历史,谁后来被诊断为军人结核。结论:这个病例突出了一个非常年幼的儿童的不寻常的军旅结核的表现,这是一个很少观察到的人口统计学。军人结核病仍然是一种严重和可能致命的疾病,特别是在诊断和治疗延误的情况下。诊断通常是基于临床表现,胸部x线片上的典型军型。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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