Primary pulmonary tuberculosis presenting as mass lesions and simulating tumours in children

Cherian, MJ; Dahniya, M H; Al-Marzouk, N; Osmanagich, E; Abul, Adnan T.; Haider, Ali

doi:10.1111/j.1440-1673.1998.tb00528.x

Cited by 7 publications

(9 citation statements)

References 13 publications

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“…Pulmonary tuberculosis can be fatal if it is not diagnosed and treated early. Diagnosing it can be difficult, given that the initial symptoms are nonspecific and the typical chest X-ray findings appear relatively late (37) . Miliary tuberculosis is an interstitial disease, presenting clinical, radiological, and physiological similarities with other diseases of its type, which makes early diagnosis even more problematic.…”

Section: Discussionmentioning

confidence: 99%

Radiological aspects in computed tomography as determinants in the diagnosis of pulmonary tuberculosis in immunocompetent infants

et al. 2019

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Objective: To describe the chest computed tomography (CT) findings in immunocompetent children under 36 months of age with pulmonary tuberculosis. Materials and Methods: This was a descriptive case series conducted in the city of Rio de Janeiro, Brazil, between January 2004 and July 2013, involving 20 young children who underwent CT after undergoing chest X-rays that did not provide a definitive diagnosis. Results: All of the participants had lymph node enlargement and consolidations. In 15 cases (75%), the consolidations were accompanied by atelectasis. Pulmonary cavitation was seen in 10 cases (50%), and cavitation within consolidations was seen in 7 (35%). The areas of cavitation and parenchymal destruction were not seen on conventional chest X-rays. Conclusion: The radiological presentation of pulmonary tuberculosis in young children differs from that described in older children and adults. CT is an effective method for the early diagnosis of pulmonary tuberculosis in immunocompetent infants, allowing the rapid institution of specific treatment, which is crucial for halting disease progression, as well as for preventing local and systemic complications.

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Section: Discussionmentioning

confidence: 99%

Radiological aspects in computed tomography as determinants in the diagnosis of pulmonary tuberculosis in immunocompetent infants

et al. 2019

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“…3 A distinct radiographic manifestation of PTB mimicking a lung carcinoma is pseudotumoural pulmonary tuberculosis. 4,5 Pseudotumoural pulmonary tuberculosis is rare and occurs in 3.5 % to 4.5 % of immunocompetent patients even in TB endemic regions of the world. 6,7 Diagnosis is usually challenging because of non-specific clinical features and radiological similarities to lung cancer and other lung pathologies.…”

Section: Introductionmentioning

confidence: 99%

Pseudotumour presentation of pulmonary tuberculosis

Afriyie-Mensah

Awindaogo

Asomani

2020

gmj

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Pulmonary tuberculosis manifesting as a mass lesion, thus, mimicking a lung carcinoma is an unusual radiographic presentation of tuberculosis (TB). The common radiologic patterns and clinical presentations are well known and documented. We report two cases of pulmonary tuberculosis with a neoplastic appearance on chest imaging diagnosed histologically. A 21 – year old female with cough, weight loss, anorexia and an unremarkable physical examination. Chest radiography showed a right apical mass suggestive of lung cancer. Histology of the lesion revealed parenchymal pulmonary tuberculosis. A 49–year old male with left-sided chest pain, cough, anorexia, weight loss, mild pallor with an unremarkable chest examination. Chest imaging showed a left apical mass and mediastinal lymphadenopathy. Microscopic examination of the mass confirmed pulmonary tuberculosis. Pseudotumour pulmonary tuberculosis is a rare clinical entity that can lead to diagnostic challenges and must be considered in the differential diagnosis when mass lesions are seen on chest imaging, especially in TB endemic areas.Keywords: tuberculosis, pulmonary, carcinoma, atypical, diagnosticFunding: None declared

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“…There are many similarities between tuberculosis and lung cancer presenting as mass lesion. Both are very common, have high prevalence, involve lung parenchyma and above all, characterised by similar symptoms [2]. But, there are many differences between these two entities like they have different etiologies (pulmonary tuberculosis is infectious while lung cancer is non-infectious disease).…”

Section: Introductionmentioning

confidence: 99%

Tuberculosis presenting as Lung mass

Raghu¹,

Srikanth

Pulivarthi

2015

Int J Med Res Rev

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Pulmonary tuberculosis remains one of the major health problems through out the world. Pulmonary Tuberculosis has variable presentation, may present as a mass lesion. Here we are reporting a rare case presenting with dry cough with intermittent fever since 1 month, significant weight loss and one bout of hemoptysis 2 days back. A mass lesion noted in the right lower zone on chest x-ray and confirmed by Computed Tomography (CT) scan. Ultra sound aided Fine Needle Aspiration Cytology (FNAC) confirmed as tuberculosis.

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Primary pulmonary tuberculosis presenting as mass lesions and simulating tumours in children

Abstract: Two cases of primary pulmonary tuberculosis presenting as mass densities and simulating neoplasms in children are reported. This manifestation has not been previously reported in children. It probably represents an unusual immunological response to the mycobacterium.

Cited by 7 publications

References 13 publications

Radiological aspects in computed tomography as determinants in the diagnosis of pulmonary tuberculosis in immunocompetent infants

Radiological aspects in computed tomography as determinants in the diagnosis of pulmonary tuberculosis in immunocompetent infants

Pseudotumour presentation of pulmonary tuberculosis

Tuberculosis presenting as Lung mass

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