Case report: A case of mycobacterium bovis, in a previously healthy 10-year-old girl in Lebanon
Mycobacterium Tuberculosis (M. TB) and Mycobacterium Bovis (M. Bovis), constituents of the Mycobacterium Tuberculosis complex (MTBC), pose diagnostic challenges due to shared extrapulmonary manifestations. This case portrays a patient initially treated for a fungal infection after presenting with we...
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| Format: | Article |
| Language: | English |
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Elsevier
2025-04-01
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| Series: | Radiology Case Reports |
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| Online Access: | http://www.sciencedirect.com/science/article/pii/S1930043325000512 |
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| author | Amal Naous, MD Zeina Naja, MD Aref Ramadan, MD Batoul Ahmad-Kassem, MD Walaa Saba Tayon, MD Mahmoud Abdelnabi, MD Lynn Mansour Zenah Delbani Elissa El-judri Ali Zeidan Mariam Rajab, MD |
| author_facet | Amal Naous, MD Zeina Naja, MD Aref Ramadan, MD Batoul Ahmad-Kassem, MD Walaa Saba Tayon, MD Mahmoud Abdelnabi, MD Lynn Mansour Zenah Delbani Elissa El-judri Ali Zeidan Mariam Rajab, MD |
| author_sort | Amal Naous, MD |
| collection | DOAJ |
| description | Mycobacterium Tuberculosis (M. TB) and Mycobacterium Bovis (M. Bovis), constituents of the Mycobacterium Tuberculosis complex (MTBC), pose diagnostic challenges due to shared extrapulmonary manifestations. This case portrays a patient initially treated for a fungal infection after presenting with weight loss, anorexia, and positive fecal occult blood. Subsequent hospitalization for continuous fever, limb edema, and strawberry tongue led to a diagnosis of Kawasaki disease. Despite treatment, symptoms persisted, prompting further investigation culminating in a Crohn's disease diagnosis and subsequent treatment initiation. However, symptom resolution remained elusive, prompting an urgent laparotomy where TB was confirmed via biopsies, despite earlier negative TB tests. This case underscores the diagnostic intricacies between Intestinal TB and Crohn's disease, emphasizing the necessity for heightened TB suspicion despite initial negative tests. The clinical overlap mandates meticulous diagnostic evaluations to avoid delayed or missed diagnoses. |
| format | Article |
| id | doaj-art-4140ef422d7c46de844b03a012e3f66f |
| institution | Kabale University |
| issn | 1930-0433 |
| language | English |
| publishDate | 2025-04-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Radiology Case Reports |
| spelling | doaj-art-4140ef422d7c46de844b03a012e3f66f2025-02-02T05:27:02ZengElsevierRadiology Case Reports1930-04332025-04-0120421672174Case report: A case of mycobacterium bovis, in a previously healthy 10-year-old girl in LebanonAmal Naous, MD0Zeina Naja, MD1Aref Ramadan, MD2Batoul Ahmad-Kassem, MD3Walaa Saba Tayon, MD4Mahmoud Abdelnabi, MD5Lynn Mansour6Zenah Delbani7Elissa El-judri8Ali Zeidan9Mariam Rajab, MD10Faculty of Medicine, Beirut Arab University, Beirut, Lebanon; Department of Pediatrics, Makassed General Hospital, Beirut, Lebanon; Corresponding author.Department of Pediatrics, Makassed General Hospital, Beirut, LebanonDepartment of Pediatrics, Makassed General Hospital, Beirut, LebanonDepartment of Pediatrics, Makassed General Hospital, Beirut, LebanonDepartment of Pediatrics, Makassed General Hospital, Beirut, LebanonDepartment of Pediatrics, Makassed General Hospital, Beirut, LebanonFaculty of Medicine, Beirut Arab University, Beirut, LebanonFaculty of Medicine, Beirut Arab University, Beirut, LebanonFaculty of Medicine, Beirut Arab University, Beirut, LebanonFaculty of Medicine, Beirut Arab University, Beirut, LebanonDepartment of Pediatrics, Makassed General Hospital, Beirut, LebanonMycobacterium Tuberculosis (M. TB) and Mycobacterium Bovis (M. Bovis), constituents of the Mycobacterium Tuberculosis complex (MTBC), pose diagnostic challenges due to shared extrapulmonary manifestations. This case portrays a patient initially treated for a fungal infection after presenting with weight loss, anorexia, and positive fecal occult blood. Subsequent hospitalization for continuous fever, limb edema, and strawberry tongue led to a diagnosis of Kawasaki disease. Despite treatment, symptoms persisted, prompting further investigation culminating in a Crohn's disease diagnosis and subsequent treatment initiation. However, symptom resolution remained elusive, prompting an urgent laparotomy where TB was confirmed via biopsies, despite earlier negative TB tests. This case underscores the diagnostic intricacies between Intestinal TB and Crohn's disease, emphasizing the necessity for heightened TB suspicion despite initial negative tests. The clinical overlap mandates meticulous diagnostic evaluations to avoid delayed or missed diagnoses.http://www.sciencedirect.com/science/article/pii/S1930043325000512Mycobacterium Tuberculosis (M. TB)Mycobacterium Bovis (M. Bovis)Crohn's disease, pneumothoraxHydrocephalus |
| spellingShingle | Amal Naous, MD Zeina Naja, MD Aref Ramadan, MD Batoul Ahmad-Kassem, MD Walaa Saba Tayon, MD Mahmoud Abdelnabi, MD Lynn Mansour Zenah Delbani Elissa El-judri Ali Zeidan Mariam Rajab, MD Case report: A case of mycobacterium bovis, in a previously healthy 10-year-old girl in Lebanon Radiology Case Reports Mycobacterium Tuberculosis (M. TB) Mycobacterium Bovis (M. Bovis) Crohn's disease, pneumothorax Hydrocephalus |
| title | Case report: A case of mycobacterium bovis, in a previously healthy 10-year-old girl in Lebanon |
| title_full | Case report: A case of mycobacterium bovis, in a previously healthy 10-year-old girl in Lebanon |
| title_fullStr | Case report: A case of mycobacterium bovis, in a previously healthy 10-year-old girl in Lebanon |
| title_full_unstemmed | Case report: A case of mycobacterium bovis, in a previously healthy 10-year-old girl in Lebanon |
| title_short | Case report: A case of mycobacterium bovis, in a previously healthy 10-year-old girl in Lebanon |
| title_sort | case report a case of mycobacterium bovis in a previously healthy 10 year old girl in lebanon |
| topic | Mycobacterium Tuberculosis (M. TB) Mycobacterium Bovis (M. Bovis) Crohn's disease, pneumothorax Hydrocephalus |
| url | http://www.sciencedirect.com/science/article/pii/S1930043325000512 |
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