Journal of Developmental Medicine(Electronic Version)  2013, Vol. 1 Issue (2): 101-103 DOI: |
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| Polyserositis caused byCO·infection of tuberculosis and mycoplasma pneumonia：a case
report and literature
review |
| HU Bo,YANG Chang-shuan
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Bayi Children's Hospital At西liated to the General Hospital of Chinese儿A
Beijing Military Region,Beijing／00700,China
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Abstract 【Abstract】Objectives
To
investigate
clinical features of
polyserositis
caused
by
co—infection，causes
of
misdiagnosis
and
propose preventive
measures．Methods
Retrospective analysis
of clinical data from one
case of polyserositis in our hospital caused by CO—infection of tuberculosis and mycoplasmal pneumonia．
Results
The child was admitted in our hospital because of cough，abdominal distension for more than
1
month．The
early
course of the disease was
diagnosed
as
pneumonia
in another
hospital
before our
diagnosis
of
myeoplasmal
infection．After
giving
the
appropriate treatment，we
found that
cough disappeared，perieardial
effusion and
pyoperitoneum absorbed，but
the
right pleural
effusion existed．We
stopped
the treatment and
then a small amount of pyoperitoneum and pleural effusion was increased．Serum T—Spot．TB antigen showed
positive．Considering
tuberculosis and using soniazid，rifampicin and pyrazinamide as anti—TB treatment for
3
weeks，right pleural
effusion was not
significantly
absorbed．After prednisone 2 mg／(kg’d)orally was
added for 10 d，chest X
ray showed
that
pleural
effusion was
absorbed，suppofling
the diagnosis of tuberculosis．
Conclusion
Atypical history
and
signs，single negative
culture for tubercle bacillus in
pleural
effusion and
normal ADA and T—Spot．TB concentration in
pleural
effusion are the main causes of misdiagnosis．Repeating
examination of
pleural
fluid and blood ADA and
T-Spot．TB
concentration may
help
in confirming the diagnosis．
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Published: 07 September 2019
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