| Journal: | Revista mexicana de pediatría |
| Database: | PERIÓDICA |
| System number: | 000449113 |
| ISSN: | 0035-0052 |
| Authors: | Moguel Hernández, Alejandro1 Zarco González, Ana Paulina1 Blancas Ojeda, Mario Héctor2 Duck Hernández, Elías2 Rodríguez López, Adriana1 Franco Koehrlen, Celine Alicia1 |
| Institutions: | 1Centro Médico ABC, Servicio de Pediatría y Cunero Fisiológico, Ciudad de México. México 2Hospital Angeles Lomas, Ciudad de México. México |
| Year: | 2020 |
| Season: | Mar-Abr |
| Volumen: | 87 |
| Number: | 2 |
| Pages: | 70-73 |
| Country: | México |
| Language: | Español |
| Document type: | Artículo |
| Approach: | Caso clínico |
| Spanish abstract | Dar a conocer el caso de un niño con diagnóstico muy probable de tuberculosis abdominal, a fin de poder sospecharla y brindar tratamiento oportuno. Presentación de caso: Paciente masculino de 3 años, originario de Puebla, con síndrome de Crouzon, esquema de vacunación completo y quien tenía contacto directo con paciente con tuberculosis. Su padecimiento fue de aproximadamente tres semanas de evolución, con fiebre de predominio nocturno; unos días previo a su ingreso se agregó vómito, diarrea, astenia, adinamia, así como dolor abdominal en mesogastrio y fosa iliaca derecha. A su llegada al hospital, por sospecha de apendicitis se realiza laparotomía exploradora, observando datos compatibles con tuberculosis, confirmándose por estudio histopatológico en apéndice, epiplón y peritoneo. Después de dos meses de tratamiento anti-fímico, el paciente fue egresado del hospital por mejoría. Conclusión: En pacientes pediátricos con fiebre de larga evolución y manifestaciones abdominales, la tuberculosis abdominal se debe considerar como diagnóstico diferencial |
| English abstract | Objective: To present the case of a child with most likely diagnosed of abdominal tuberculosis, in order to have elements to suspect it and provide timely treatment. Case presentation: 3-year-old male patient, resident of Puebla, with Crouzon syndrome, who had a complete vaccination schedule and a history of contact with a patient with tuberculosis. His condition had approximately three weeks of evolution, with predominantly nocturnal fever; a few days before admission, vomiting, diarrhea, asthenia, adynamia, as well as abdominal pain in the mesogastrium and right iliac fossa were added. Upon arrival at the hospital, an exploratory laparotomy was performed for suspected appendicitis. During the surgery, data compatible with tuberculosis were observed, which was confirmed by histopathological study of the appendix, omentum and peritoneum. After two months of treatment for tuberculosis, the patient was discharged from the hospital as he showed improvement. Conclusion: Abdominal tuberculosis should be considered as a differential diagnosis in pediatric patients with long-standing fever and abnormal abdominal manifestations |
| Disciplines: | Medicina |
| Keyword: | Pediatría, Microbiología, Tuberculosis abdominal, Manifestaciones clínicas, Fiebre, Dolor abdominal, Preescolares |
| Keyword: | Pediatrics, Microbiology, Clinical manifestations, Abdominal tuberculosis, Fever, Abdominal pain, Preschool children |
| Full text: | Texto completo (Ver HTML) Texto completo (Ver PDF) |
