Pulmonary and Ileal Tuberculosis Presenting as Fever of Undetermined Origin
Published: October 1, 2014 | DOI: https://doi.org/10.7860/JCDR/2014/.4998
Gajanan Surewad, Ivona Lobo, Preeti Shanbag
1. Fellow, Department of Neonatology, G S Medical College & KEM Hospital, Parel, Mumbai, India.
2. Professor & Head, Department of Pulmonary Medicine, ESI-PGIMSR & MGM Hospital, Parel, Mumbai, India.
3. Professor & Head, Department of Paediatrics, ESI-PGIMSR & MGM Hospital, Parel, Mumbai, India.
Correspondence
Dr. Preeti Shanbag,
801, Yashowan, TH Kataria Marg, Mahim, Mumbai-400016, India.
Phone : 9869128012, E-mail : pshanbag@gmail.com
A 12-year-old girl presented with prolonged fever with no obvious focus on either history or clinical examination. High-resolution computerized tomography of the chest revealed the ‘tree-in-bud’ sign in the right lung and necrotic mediastinal lymph nodes. Barium meal showed multiple ileal strictures. The child was treated with anti-tuberculous therapy for six months. At follow-up six months later, the child had gained weight and had no signs of intestinal obstruction. Tuberculosis is a common cause of fever of undetermined origin and should be investigated for especially in countries with a high prevalence.
[
FULL TEXT ] | [ PDF]