Unusual presentation of miliary tuberculosis in a 12-year-old girl: a case report

BMC Pediatr. 2024 Apr 1;24(1):223. doi: 10.1186/s12887-023-04427-x.

Abstract

Background: Miliary tuberculosis (TB) is a lethal hematogenous spread form of mycobacterium tuberculosis with approximately 15-20% mortality rate in children. The present report highlights the clinical manifestations of an unusual presentation of miliary tuberculosis in a 12-year-old girl.

Case presentation: In this case, extensive lung involvement was presented despite the absence of respiratory symptoms. Also, some central hypo-intense with hyper-intense rim nodules were detected in the brain's pons, right cerebral peduncles and lentiform nucleus.

Conclusion: The results of this study showed that severe miliary TB may occur even in a person who received the Bacille Calmette-Guérin (BCG) vaccine.

Keywords: Miliary; Mycobacteria; Tuberculosis.

Publication types

  • Case Reports

MeSH terms

  • BCG Vaccine
  • Child
  • Female
  • Humans
  • Mycobacterium tuberculosis*
  • Pons
  • Tuberculosis, Miliary* / diagnosis
  • Tuberculosis, Miliary* / drug therapy

Substances

  • BCG Vaccine