Mediastina Tuberculosis mass in a three-month-old boy

Tunis Med. 2010 Aug;88(8):602-4.

Abstract

Background: Mediastinal mass of tuberculous origin is exceedingly rare in infant.

Aim: to report an exceedingly rare case of mediastinal mass of tuberculous origin.

Case report: We report a three-month-old boy who presented a one month history of wheezing and persistent pneumopathy. Radiological investigations showed a large posterior mediastinal mass which infiltrates lungs. Thoracoscopic biopsy showed caseous necrosis with granuloma suggestive of tuberculosis. The outcome was favourable with antituberculous chemotherapy.

Conclusion: Mediatinal mass of tuberculous origin should considered in differential diagnosis of mediastinal masses in children; be suggested in mediastinal mass in children.

Publication types

  • Case Reports

MeSH terms

  • Adrenal Cortex Hormones / administration & dosage
  • Adrenal Cortex Hormones / therapeutic use*
  • Antibiotics, Antitubercular / administration & dosage
  • Antibiotics, Antitubercular / therapeutic use
  • Antitubercular Agents / administration & dosage
  • Antitubercular Agents / therapeutic use*
  • Drug Therapy, Combination
  • Ethambutol / administration & dosage
  • Ethambutol / therapeutic use
  • Follow-Up Studies
  • Humans
  • Infant
  • Isoniazid / administration & dosage
  • Isoniazid / therapeutic use
  • Magnetic Resonance Imaging
  • Male
  • Mediastinal Diseases* / diagnosis
  • Mediastinal Diseases* / drug therapy
  • Pyrazinamide / administration & dosage
  • Pyrazinamide / therapeutic use
  • Rifampin / administration & dosage
  • Rifampin / therapeutic use
  • Time Factors
  • Treatment Outcome
  • Tuberculosis* / diagnosis
  • Tuberculosis* / drug therapy

Substances

  • Adrenal Cortex Hormones
  • Antibiotics, Antitubercular
  • Antitubercular Agents
  • Pyrazinamide
  • Ethambutol
  • Isoniazid
  • Rifampin