Open AccessPulmonary and Ileal Tuberculosis Presenting as Fever of Undetermined Origin
Author(s) -
Gajanan Surewad,
Ivona Lobo,
Preeti Shanbag
Publication year - 2014
Publication title -
journal of clinical and diagnostic research
Language(s) - English
Resource type - Journals
eISSN - 2249-782X
pISSN - 0973-709X
DOI - 10.7860/jcdr/2014/9695.4998
Subject(s) - medicine , tuberculosis , pulmonary tuberculosis , fever of unknown origin , girl , typhoid fever , radiology , surgery , pathology , psychology , developmental psychology
A 12-year-old girl presented with prolonged fever with no obvious focus on either history or clinical examination. High-resolution computerized tomography of the chest revealed the 'tree-in-bud' sign in the right lung and necrotic mediastinal lymph nodes. Barium meal showed multiple ileal strictures. The child was treated with anti-tuberculous therapy for six months. At follow-up six months later, the child had gained weight and had no signs of intestinal obstruction. Tuberculosis is a common cause of fever of undetermined origin and should be investigated for especially in countries with a high prevalence.