Department of Pediatrics, King Abdulaziz Medical City, National Guard Health Affairs, Riyadh, Saudi Arabia.
J Infect Public Health. 2012 Apr;5(2):203-6. doi: 10.1016/j.jiph.2011.11.005. Epub 2012 Feb 7.
We report the case of a 10-year-old girl who presented to the emergency department with acute abdominal pain. She was diagnosed as having extrapulmonary tuberculosis (TB) with multifocal osteomyelitis of the spine and ribs, peritonitis and intestinal involvement. We describe the clinical presentation of this unusual constellation of the disease in the absence of pulmonary involvement in a child and discuss the diagnostic challenges and treatment of these rare forms of TB.
我们报告了一例 10 岁女孩因急性腹痛就诊于急诊科的病例。她被诊断为患有肺外结核(TB),伴有脊柱和肋骨多发性骨髓炎、腹膜炎和肠道受累。我们描述了在儿童无肺部受累的情况下这种不常见疾病组合的临床表现,并讨论了这些罕见形式的 TB 的诊断挑战和治疗。