Tuberculosis Presenting as Anterior Mediastinal Mass - A Possibility in An Immunocompetent Child
Tahir Muhammad Yaseen1*, Atif Zulfiqar2, Shabbir Hussain3 and Aisha Fazal3*
1Senior Registrar Pediatric Surgery, Liaquat National Medical College and Hospital Karachi, Pakistan.
2Resident Pediatric Surgery, Liaquat National Medical College and Hospital Karachi, Pakistan.
3Consultant Pediatric Surgery, Liaquat National Medical College and Hospital Karachi, Pakistan.
3*Resident Pediatric Medicine, Baqai Medical University and Hospital Karachi, Pakistan.
*Corresponding Author: Tahir Muhammad Yaseen, Senior Registrar Pediatric Surgery, Liaquat National Medical College and Hospital Karachi, Pakistan.
DOI: https://doi.org/10.58624/SVOAPD.2024.03.059
Received: March 02, 2023 Published: April 09, 2024
Abstract
A case of an 8-year-boy is reported who presented with a two month history of high-grade fever, associated with reduction in his appetite and subjective weight loss. He was treated empirically on the lines of bronchopneumonia, however, with no relief in his symptoms. Chest radiograph showed mediastinal widening, which prompted the need for a computed tomographic (CT) scan of the chest revealing an anterior mediastinal mass abutting the pericardium and compressing the great vessels. The possibilities of lymphoma or germ cell tumour were considered. The serum tumor markers were unremarkable. The child underwent midline sternotomy, with complete excision of mass. The histopathology of the lesion revealed multiple epithelioid cell granulomas with necrosis, and final diagnosis of a tuberculous lesion was made. The clinical course of this patient and the relevant literature is presented in this paper.
Keywords: Tuberculosis, Anterior mediastinal mass, Mediastinal widening
Citation: Yaseen TM, Zulfiqar A, Hussain S, Fazal A. Tuberculosis Presenting as Anterior Mediastinal Mass - A Possibility in An Immunocompetent Child. SVOA Paediatrics 2024, 3:2, 22-24.