| A Case of Tuberculous Pneumonia in Infancy |
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Joon-Sung Lee, Young-Yoo Kim, Jong-Wan Kim |
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Department of Pediatrics, Catholic University Medical College, Seoul, Korea |
| 영아에서 발생한 결핵성 폐렴 1례 |
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이준성, 김영유, 김종완 |
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가톨릭대학교 의과대학 소아과학교실 |
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| Abstract |
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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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