Question of the Week

Question :

Posted On : 03 Feb 2009

One and half year male had Miliary TB with hepatosplenomegaly. He was born preterm at 32-34 wks with birth weight of 800gm. He was getting recurrent respiratory tract infections. His previous X rays were normal. For last nine months he was on 4 drugs AKT {SHRZ} for 2 months and then 3 drugs AKT {HRZ} for last 4 months along with Oral Ofloxacin. He developed severe abdominal pain. Hepatosplenomegaly is persistent. No urinary or bowel complaints. Urine routine NAD. Deworming done,Usg shows Hepatosplenomegaly. No other positive findings. X ray chest shows still miliary shadows. What could be the cause of his Abdominal Pain? What modifications in the AKT are required to control his Miliary TB?

Expert Answer :

No expert answer available.

Answer Discussion :

adarsh purohit

is this abdominal pain the so called `abdominal syndrome`, the adverse effect of rifampicin_?_? Have the child been also given steroids along with AKT_?_?

16 years ago

MEGHA O JAKHOTIA

abdominal pain could b due to hepatitis.i would like to add 1 more second line drug .

16 years ago

Santosh Madrewar

he seems to have MDR TB ALSO GET HIS HIV DONE

16 years ago

SULAKSHANA NANDI

ABDOMINAL TUBERCULOSIS
CONTINUE 4 DRUGS

16 years ago

pediatriconcall

Rule out other infections such as HIV, fungal infections. Since the miliary shadows are persisting, rule out interstitial lung disease. Since miliary shadaows may be seen with lot of other conditions, even histiocytosis must be rule out. A lung biopsy may be needed. One must also rule out MDR Tb and Bronchoalveolar lavage may be required for Tb Culture.

16 years ago

Question of the Week

Home

Partner Sites