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Revista Cubana de Pediatría
versión On-line ISSN 1561-3119
Resumen
NEYRA-LEON, Jesús Andreé; DE LA CRUZ-CHACALIAZA, Nicolas; JORGE-FERNANDEZ, Dalma y VALDIVIA-HEREDIA, Rocío. Systemic childhood tuberculosis. Rev Cubana Pediatr [online]. 2021, vol.93, suppl.1 Epub 01-Dic-2021. ISSN 1561-3119.
Introduction:
Childhood tuberculosis, defined as the infectious-contagious disease caused by the Koch bacillus in patients under 15 years of age, continues to be a public health problem due to the number of cases that are reported annually; in addition to represent a challenge for the pediatrician in the diagnosis and treatment of this disease.
Objective:
Describe the case of a male patient with a picture of multisystem tuberculosis.
Case presentation:
A 13-year-old male patient with a progressive weight loss of 20 kg in 3 months, abdominal pain of diffuse location, dry cough and hyporexia. In the examinations carried out, pulmonary cavitary lesions, multiple enteroperitoneal adenopathies and positive smears in feces and urine were found; with which the diagnosis of systemic tuberculosis in children was reached and an antituberculous scheme was initiated. The patient progressed favorably and he is stable.
Conclusions:
In the case of a pediatric patient with a wasting syndrome, and coming from an endemic area, tuberculosis should be one of the first options in the differential diagnosis.
Palabras clave : Tuberculosis; mycobacterium tuberculosi; gastrointestinal tuberculosis; adolescent.