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J Pediatr Infect Dis 2016; 11(04): 131-132
DOI: 10.1055/s-0036-1593974
Case Report
Georg Thieme Verlag KG Stuttgart · New York

Spontaneous Pneumothorax due to Obstructive Emphysema as Presentation of Tuberculous Mediastinal Lymphadenopathy

Ira Shah
1   Pediatric TB Clinic, Department of Pediatrics, B J Wadia Hospital for Children, Mumbai, India
,
Sujeet Chilkar
1   Pediatric TB Clinic, Department of Pediatrics, B J Wadia Hospital for Children, Mumbai, India
,
Manisha Patil
1   Pediatric TB Clinic, Department of Pediatrics, B J Wadia Hospital for Children, Mumbai, India
› Author Affiliations
Further Information

Publication History

19 April 2016

26 September 2016

Publication Date:
17 November 2016 (online)

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Abstract

Mediastinal lymph node involvement is usually seen in primary childhood tuberculosis (TB). When caseation and necrosis of the mediastinal lymph nodes progresses, the enlarged nodes may compress the regional bronchi and cause bronchial narrowing, obstruction, and emphysema. However, mediastinal adenopathy leading to emphysema and causing pneumothorax in children is not yet reported. A 6-month-old male patient presented with left-sided pneumothorax that required immediate treatment with thoracostomy. Computed tomography chest showed mediastinal necrotic nodes causing obstructive emphysematous changes in left lung. He was treated with antituberculous therapy along with steroids to which he responded well.

Keywords

tuberculosis - pneumothorax - mediastinal adenopathy
 

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