A remarkable case of pleural effusion

Bibliographic Details
Main Author: Castelbranco-Silva, Ana
Publication Date: 2022
Other Authors: Ferreira, Filipa A., Calhau, Paulo
Format: Article
Language: eng
Source: Repositórios Científicos de Acesso Aberto de Portugal (RCAAP)
Download full: https://doi.org/10.25753/BirthGrowthMJ.v31.i2.23700
Summary: Tuberculosis is rare in pediatric age but remains an issue in populations with risk factors. A new pediatric diagnosis frequently reflects a recent infection in the community. Herein is reported the case of an adolescent with prolonged but well-tolerated dyspnea, anorexia, fever, and night sweats, whose radiograph showed a massive pleural effusion. Pleural fluid analysis was compatible with pleural TB, and pleural biopsy confirmed the diagnosis. Pleural fluid polymerase chain reaction was later positive for Mycobacterium tuberculosis, and interferon-gamma release assay was also positive.
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spelling A remarkable case of pleural effusionUm caso impressionante de derrame pleuralImaging CasesTuberculosis is rare in pediatric age but remains an issue in populations with risk factors. A new pediatric diagnosis frequently reflects a recent infection in the community. Herein is reported the case of an adolescent with prolonged but well-tolerated dyspnea, anorexia, fever, and night sweats, whose radiograph showed a massive pleural effusion. Pleural fluid analysis was compatible with pleural TB, and pleural biopsy confirmed the diagnosis. Pleural fluid polymerase chain reaction was later positive for Mycobacterium tuberculosis, and interferon-gamma release assay was also positive.A tuberculose é uma doença rara em idade pediátrica, mas continua a ser um problema em populações de risco. Um diagnóstico de novo numa criança frequentemente traduz uma infeção recente na comunidade. É descrito o caso de um adolescente com dispneia, anorexia, febre e sudorese noturna prolongadas, mas bem toleradas, cuja radiografia evidenciou um derrame pleural de grandes dimensões. A análise do líquido pleural foi compatível com o diagnóstico de tuberculose pleural e a biópsia pleural permitiu confirmar o diagnóstico. A reação em cadeia da polimerase no líquido pleural foi posteriormente positiva para Mycobacterium tuberculosis e o teste de libertação de interferão gama foi igualmente positivo.Unidade Local de Saúde de Santo António2022-06-30info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articlehttps://doi.org/10.25753/BirthGrowthMJ.v31.i2.23700eng2183-9417Castelbranco-Silva, AnaFerreira, Filipa A.Calhau, Pauloinfo:eu-repo/semantics/openAccessreponame:Repositórios Científicos de Acesso Aberto de Portugal (RCAAP)instname:FCCN, serviços digitais da FCT – Fundação para a Ciência e a Tecnologiainstacron:RCAAP2024-05-07T09:46:28Zoai:ojs.revistas.rcaap.pt:article/23700Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireinfo@rcaap.ptopendoar:https://opendoar.ac.uk/repository/71602025-05-28T14:39:45.287180Repositórios Científicos de Acesso Aberto de Portugal (RCAAP) - FCCN, serviços digitais da FCT – Fundação para a Ciência e a Tecnologiafalse
dc.title.none.fl_str_mv A remarkable case of pleural effusion
Um caso impressionante de derrame pleural
title A remarkable case of pleural effusion
spellingShingle A remarkable case of pleural effusion
Castelbranco-Silva, Ana
Imaging Cases
title_short A remarkable case of pleural effusion
title_full A remarkable case of pleural effusion
title_fullStr A remarkable case of pleural effusion
title_full_unstemmed A remarkable case of pleural effusion
title_sort A remarkable case of pleural effusion
author Castelbranco-Silva, Ana
author_facet Castelbranco-Silva, Ana
Ferreira, Filipa A.
Calhau, Paulo
author_role author
author2 Ferreira, Filipa A.
Calhau, Paulo
author2_role author
author
dc.contributor.author.fl_str_mv Castelbranco-Silva, Ana
Ferreira, Filipa A.
Calhau, Paulo
dc.subject.por.fl_str_mv Imaging Cases
topic Imaging Cases
description Tuberculosis is rare in pediatric age but remains an issue in populations with risk factors. A new pediatric diagnosis frequently reflects a recent infection in the community. Herein is reported the case of an adolescent with prolonged but well-tolerated dyspnea, anorexia, fever, and night sweats, whose radiograph showed a massive pleural effusion. Pleural fluid analysis was compatible with pleural TB, and pleural biopsy confirmed the diagnosis. Pleural fluid polymerase chain reaction was later positive for Mycobacterium tuberculosis, and interferon-gamma release assay was also positive.
publishDate 2022
dc.date.none.fl_str_mv 2022-06-30
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv https://doi.org/10.25753/BirthGrowthMJ.v31.i2.23700
url https://doi.org/10.25753/BirthGrowthMJ.v31.i2.23700
dc.language.iso.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv 2183-9417
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.publisher.none.fl_str_mv Unidade Local de Saúde de Santo António
publisher.none.fl_str_mv Unidade Local de Saúde de Santo António
dc.source.none.fl_str_mv reponame:Repositórios Científicos de Acesso Aberto de Portugal (RCAAP)
instname:FCCN, serviços digitais da FCT – Fundação para a Ciência e a Tecnologia
instacron:RCAAP
instname_str FCCN, serviços digitais da FCT – Fundação para a Ciência e a Tecnologia
instacron_str RCAAP
institution RCAAP
reponame_str Repositórios Científicos de Acesso Aberto de Portugal (RCAAP)
collection Repositórios Científicos de Acesso Aberto de Portugal (RCAAP)
repository.name.fl_str_mv Repositórios Científicos de Acesso Aberto de Portugal (RCAAP) - FCCN, serviços digitais da FCT – Fundação para a Ciência e a Tecnologia
repository.mail.fl_str_mv info@rcaap.pt
_version_ 1833594799092924416

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