Acer Tuğba, Karnak Ibrahim, Ekinci Saniye, Talim Beril, Kiper Nural, Senocak Mehmet Emin
Department of Pediatric Surgery, Hacettepe University Faculty of Medicine, Sihhiye Ankara 06100, Turkey.
J Pediatr Surg. 2008 Sep;43(9):e17-21. doi: 10.1016/j.jpedsurg.2008.03.063.
Infants are more susceptible to tuberculous bacilli and may develop severe extrapulmonary and miliary forms of the disease. However, miliary tuberculosis (MT) presenting with multiple intestinal perforations as an initial manifestation of the disease is extremely rare in children. The authors describe an infant who underwent emergency laparotomy because of jejunoileal perforations secondary to intestinal involvement of MT to emphasize the characteristics of the abdominal disease and the importance of controlling systemic disease to achieve a favorable outcome.
婴儿更容易感染结核杆菌，可能会发展为严重的肺外和粟粒型疾病。然而，以多处肠穿孔作为疾病初始表现的粟粒型肺结核（MT）在儿童中极为罕见。作者描述了一名因MT肠道受累继发空回肠穿孔而接受急诊剖腹手术的婴儿，以强调腹部疾病的特点以及控制全身疾病对取得良好预后的重要性。
