TY - JOUR
T1 - Pneumonia with Pneumatocele Formation Caused by Mycobacterium tuberculosis: Report of One Case
AU - 高, 秀春(Hsiu-Chun Kao)
AU - 邱, 政洵(Cheng-Hsun Chiu)
AU - 林, 奏延(Tzou-Yien Lin)
AU - 王, 超然(Chau-Ran Wang)
PY - 1998
Y1 - 1998
N2 - Pneumatoceles are usually characteristic of staphylococcal pneumonia. They are rarely formed as one of the complications of Mycobacterium tuberculosis pneumonia. We report a 1-year-and-S-month-old male child with pneumonia who was confirmed to have the rare complication, pneumatocele formation, by chest radiography and computed tomography. Since the patient did not respond to empiric antibiotic therapy, gastric larvage through a nasogastric tube was performed on three consecutive mornings and, as a result, acid fast rods were found on the three specimens. The cultures subsequently yielded M. tuberculosis. He was finally cured with a 6-month course of antituberculous chemotherapy. We conclude that tuberculosis should be considered in infants or young children with pneumonia that presents radiologically as pneumatocele formation, especially in whom there has been no response to empiric antibiotic therapy.
AB - Pneumatoceles are usually characteristic of staphylococcal pneumonia. They are rarely formed as one of the complications of Mycobacterium tuberculosis pneumonia. We report a 1-year-and-S-month-old male child with pneumonia who was confirmed to have the rare complication, pneumatocele formation, by chest radiography and computed tomography. Since the patient did not respond to empiric antibiotic therapy, gastric larvage through a nasogastric tube was performed on three consecutive mornings and, as a result, acid fast rods were found on the three specimens. The cultures subsequently yielded M. tuberculosis. He was finally cured with a 6-month course of antituberculous chemotherapy. We conclude that tuberculosis should be considered in infants or young children with pneumonia that presents radiologically as pneumatocele formation, especially in whom there has been no response to empiric antibiotic therapy.
KW - 肺炎
KW - 肺氣囊
KW - 結核桿菌
KW - pneumonia
KW - pneumatocele
KW - Mycobacterium tuberculosis
M3 - Article
C2 - 9553295
SN - 1875-9572
VL - 39
SP - 55
EP - 57
JO - Acta Paediatrica Sinica
JF - Acta Paediatrica Sinica
IS - 1
ER -