Spot Diagnosis

Tuberculosis



Question :
A 4 month old child presents with cough since day 15 of life and failure to thrive with hepatomegaly. HIV is negative. There is no hypoxia or fever.



What is the diagnosis?

Discussion :
Tuberculosis. This child has reticulonodular shadows. Thus one must consider a diagnosis of Sarcoidosis, PCP, LIP and tuberculosis in this child. Since HIV is negative and the child does not have hypoxia, LIP and PCP seems unlikely. Sarcoid would present with multisystem involvement. In this child, sputum for AFB was positive and he responded to Anti TB treatment.

Correct Answers : yes  14%

Last Shown : Jul 2008
 
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