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A Case of Tuberculous Pneumonia in Infancy

Journal of the Korean Pediatric Society 1997;40(4):559-566.
Published online April 15, 1997.
A Case of Tuberculous Pneumonia in Infancy
Joon-Sung Lee, Young-Yoo Kim, Jong-Wan Kim
Department of Pediatrics, Catholic University Medical College, Seoul, Korea
영아에서 발생한 결핵성 폐렴 1례
이준성, 김영유, 김종완
가톨릭대학교 의과대학 소아과학교실
Abstract
A rare but serious complication of tuberculosis in a child occurs when the primary infection is progressively destructive. It is difiicult to differentiate from other bacterial pneumonias. We experienced a case of tuberculous pneumonia in a 73-days-old male who presented with cough, fever and progressive dyspnea. Chest X-ray shows diffuse pneumonic consolidation on right upper lung field, Mantoux test was positive and his father was diagnosed with active pulmonary tuberculosis 2 months ago. We started antituberculous drugs: INH, RFP, PZA, SM and prednisolone. At 12 weeks after therapy, chest CT and percutaneous aspiration lung biopsy was performed due to worsening of X-ray findings. The diagnosis of tuberculous pneumonia was confirmed. He was treated with INH, RFP, PZA for 52 weeks. Short-term corticosteroid therapy and SM or KM was also used. The pneumonic consolidation was totally cleared and healed with fibrosis.
Key Words: Tuberculous pneumonia, Infancy


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