CASE REPORT
Pneumonia or tuberculosis? A case report in a teenage girl
 
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1
Students’ Scientific Association of Clinical Genetics, Department of Clinical Genetics, Medical College, University of Rzeszów, Rzeszów, Poland
 
2
Department of Pneumology and Cystic Fibrosis, Institute of Tuberculosis and Lung Diseases, Rabka-Zdrój, Poland
 
3
Department of Allergology and Cystic Fibrosis, Clinical Regional Hospital No. 2 in Rzeszów, Rzeszów, Poland
 
 
Submission date: 2020-03-31
 
 
Final revision date: 2020-04-10
 
 
Acceptance date: 2020-04-11
 
 
Publication date: 2020-07-10
 
 
Pediatr Pol 2020;95(2):137-140
 
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ABSTRACT
Tuberculosis (TB) is still a common infectious disease worldwide. In 2018, seven million new cases of TB were reported to the World Health Organization. The diagnosis of TB in children is difficult due to non-characteristic symptoms. A 14-year-old girl presented to a general practitioner due to coughing and general weakness for three weeks. Physical examination revealed a reduction in vesicular murmur over a significant area of the right lung, and chest X-ray showed extensive densities in the right lung. After several days of hospitalisation and antibiotic therapy for bacterial pneumonia, the girl was diagnosed with TB. A treatment plan was applied for six months. Radiological and clinical improvement was observed after the therapy. A detailed history, determining contact with the TB patient, physical examination, results of additional tests, and broad-spectrum antibiotics response are essential for diagnosis.
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