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Case Reports
. 2019 Jan 23:26:209-211.
doi: 10.1016/j.rmcr.2019.01.018. eCollection 2019.

Cavitary tuberculosis re-emerging in immigrant children

Chrysoula Perdikogianni  1 , Maria Raissaki  2 , Athanasia Christidou  3 , Emmanouil Galanakis  1
Affiliations
Case Reports

Cavitary tuberculosis re-emerging in immigrant children

Chrysoula Perdikogianni et al. Respir Med Case Rep. .

Abstract

Cavitary pulmonary tuberculosis in children is uncommon in areas with a low tuberculosis burden. We present two cases in an 11-year old immunocompetent girl and an 8-year old immunocompromised boy. Both children were immigrants. No other cavitary tuberculosis cases have been observed in a population of 103,781 children in Crete, Greece for the past 25 years.

Conclusion: Severe forms of tuberculosis may re-emerge and BCG vaccination should remain part of the immunisation programme in immigrant populations.

Keywords: Cavitary tuberculosis; Children; Immigrants; Immunocompetent; Immunocompromised.

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Figures

Fig. 1
Fig. 1
Chest imaging of patient 1 A: Chest x-ray showing large cavities at the left lower lobe (open black arrows) adjacent to a retrocardiac collapse-consolidation (white arrows) and oval and nodular infiltrates at the mid-lung fields (open arrowheads). B: HRCT transverse section through the upper lobes showing a nodular lesion at the right upper lobe (open arrowhead) and a cavitary lesion at the left upper lobe (arrowhead). C: HRCT transverse section through the lung bases demonstrating calcified small subcarinal and left hilar nodes (open arrowheads) and a cavity (arrow) inside the collapse-consolidation at the left lower lobe.
Fig. 2
Fig. 2
Chest x-ray of patient 2 showing prominent hilums and a cavitary lesion at the left lower lung field.
See this image and copyright information in PMC

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