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IX NATIONAL CONFERENCE OF PEDIATRIC INFECTIOUS DISEASES, CHENNAI, OCT 2006
Dr. K. Ilaiyaraja, Postgraduate, Prof. Dr. Mangaiyarkarasi Senguttuvan, Director,
Prof. Dr. K. Seeniraj, MS MCh.,Dr. Vijayasekaran, Pulmonologist,
Dr. Parivathini, Dr. Umaiyala, Dr. Devi Meenakshi, Assistant Professors
Institute of Child Health and Hospital for Children, Chennai 600008, Tamilnadu
Introduction: An intrathoracic mass can be as much of diagnostic challenge as an abdominal mass.
Aims and objectives:This case is presented to highlight unusual presentation of a common problem.
Subject: 2 years old boy admitted for breath holding spells. No other complaints. Had uneventful birth and neonatal periods. Developmentally normal child. Fully immunized for the age. No history of contact with TB.
Clinical examination was not contributory, anthropometric examinations were appropriate for age. Vitals were stable. All systems were essentially normal.
Investigations were within normal limits except MX positivity. Since X-ray chest showed left upper zone opacification suspected intrathoracic mass, child was subjected for CT chest. CT demonstrated anterior mediastinal mass; Teratoma was provisionally reported. Gastric lavage, parenteral screening for TB and HIV screening were negative.
Child was subjected for thoracotomy. Cyst deroofed and adjacent node excision done.
Result: HPE revealed caseating tuberculous lesion.
Conclusion: This case is presented for unusual manifestations of the progressive primary complex as an intrathoracic mass.
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