Grand Rounds

Non-Tuberculous Mycobacterial Infection in a child operated for Appendectomy


Lavina Desai*, Ira Shah**
* Seth G S Medical College, Mumbai, India and **Pediatric Infectious Diseases, Levioza Health Care, Mumbai, India.

Address for Correspondence: Lavina Desai, Seth G S Medical College, India. Email: lavinadesai16@gmail.com


Clinical Problem:
A 12-year-old boy presented in November 2013 with abdominal pain and vomiting. He was operated for acute appendicitis with a perforation 5 months ago. His current CT scan abdomen showed a short segment stricture in the ileum with moderate dilation of proximal ileum and jejunal loops. He was operated for the same and a lymph node biopsy from the abdomen was taken and sent for histopathology and tuberculosis PCR. Histopathology showed reactive lymph nodes and PCR test was positive for non-tuberculous mycobacterial (NTM) infection. He was referred to us for further management in view of NTM report. On examination, he had no abnormality.

Should this child be given anti-tuberculous therapy?


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