Paper Information

Journal:   TANAFFOS   FALL 2010 , Volume 9 , Number 4; Page(s) 75 To 75.
 
Paper: 

WHAT IS YOUR DIAGNOSIS? TWO MONTHS OLD GIRL WITH DISSEMINATED LYMPHADENOPATHY AND HEPATOSPLENOMEGALY

 
 
Author(s):  KHALILZADEH S., HASSANZAD M.*, PARSANEJAD N., PROOSHANI A., VELAYATI A.A.
 
* PEDIATRIC RESPIRATORY DISEASE RESEARCH CENTER, NRITLD, SHAHID BEHESHTI UNIVERSITY MC, TEHRAN, IRAN
 
Abstract: 

A 2-month–old female infant was referred to our center with disseminated lymphadenopathy and hepatosplenomagaly. At birth, she was presented with fever and respiratory distress and underwent sepsis workup . Antibiotic therapy was initiated for her but the fever continued despite administration of broad spectrum antibiotics. Abdominal sonography was performed which revealed paraaortic lymphadenopathy and hepatosplenomegaly. Biopsy of para-aortic lymph nodes showed necrotizing granulomatosis inflammation and polymerase chain reaction (PCR) became positive for Mycobacterium tuberculosis complex. (Mycobacterium tuberculosis, bovis, avium, and BCG). Her parents were evaluated for TB for which the results were negative. She had a history of BCG vaccination at birth….

 
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