Teeratakulpisarn Jamaree, Srinakarin Jiraporn, Tontisirin Cherdchai, Lumbiganon Pagakrong, Mitchai Jumphol
Department of Pediatrics, Faculty of Medicine, Khon Kaen University, Khon Kaen 40002, Thailand.
Pediatr Pulmonol. 2006 Jan;41(1):98-101. doi: 10.1002/ppul.20335.
We report on a tuberculous child whose only presenting symptom was acute hemoptysis. His chest radiograph revealed a mass-like lesion occupying the posterior basal segment of the right lower lung field. Multidetector computerized tomography (MDCT) of the chest showed a hypodense mass supplied by the bronchial artery and drained by the pulmonary vein. Surgical specimens revealed caseating granulomatous inflammation, positive for acid-fast bacilli. The child was successfully treated with a short-course (6-month) regimen of antituberculous drugs.