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Tuberculosis of the endothoracic fascia
Author(s) -
Broglia Beatriz,
Bisero Elsa,
Sclavo Liliana,
Andreozzi Patricia
Publication year - 2006
Publication title -
pediatric pulmonology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.866
H-Index - 106
eISSN - 1099-0496
pISSN - 8755-6863
DOI - 10.1002/ppul.20379
Subject(s) - medicine , tuberculosis , thorax (insect anatomy) , mycobacterium tuberculosis , biopsy , pathological , lymph node , caseous necrosis , surgery , radiology , pathology , anatomy
A 13‐year‐old boy presented with a history of respiratory infection that had progressed for 3 months. A chest X‐ray showed pathological findings that suggested endothoracic fascia compromise (Skarby sign). The thorax computerized axial tomography scan revealed multiple opacities in the fascia. A biopsy was performed, and a pathological lymph node with caseous material was obtained. Thirty days later, Mycobacterium tuberculosis var. hominis was obtained from the culture. The diagnosis of tuberculosis of the endothoracic fascia was confirmed. Treatment included 9 months with isoniacide and rifampin, and 2 months with pirazynamide and streptomycin, with excellent response. Vitamin B6 was added. Pediatr Pulmonol. 2006; 41:441–444. © 2006 Wiley‐Liss, Inc.