ABSTRACT
Tuberculous peritonitis is an uncommon extrapulmonary form of Mycobacterium tuberculosis infection, frequently presenting with nonspecific and insidious symptoms. Diagnosis is therefore difficult, unsuspected, and often delayed, especially in the pediatric patient without an obvious history of exposure to the pathogen. This report presents a 9-year-old Hispanic girl and a 3-year-old African American boy presenting with nonspecific and insidious symptoms, such as abdominal pain, distention, and fever in whom computed tomography findings of peritoneal thickening and enhancement, high density ascites, lymphadenopathy, and bowel wall thickening acted as key components in establishing a final diagnosis of the condition. Computed tomography is an important clinical adjuvant in making this difficult diagnosis.
Subject(s)
Abscess/diagnosis , Arthralgia/etiology , Fever/etiology , Pyomyositis/diagnosis , Staphylococcal Infections/diagnosis , Abscess/drug therapy , Abscess/microbiology , Anti-Bacterial Agents/therapeutic use , Cefazolin/therapeutic use , Child , Diagnosis, Differential , Hip , Humans , Knee , Male , Pyomyositis/drug therapy , Pyomyositis/microbiology , Staphylococcal Infections/drug therapyABSTRACT
We report a case of congenital rubella syndrome in a child born to a vaccinated New Jersey woman who had not traveled internationally. Although rubella and congenital rubella syndrome have been eliminated from the United States, clinicians should remain vigilant and immediately notify public health authorities when either is suspected.
