polynero.blogg.se - Medicales rmn

Medicales rmn skin#

Medicales rmn skin#

Physical examination, Chest X Ray, culture of mycobacterium tuberculosis, and tuberculosis skin tests of theĭifferent member of the family were negative.įigure 2 : Chest Resonance magnetic imaging showing posterior mediastinal mass with lungs infiltratesįigure 3 : Chest resonance magnetic imaging showing mediastinal mass with bilateral lung infiltrates We doesn’t identified source of infection. Culture of non tuberculosis mycobacteria from gastric aspirates and sputum was also negative. Culture of mycobacterium tuberculosis from gastric aspirates, sputum, cerebrospinal fluid and urine were negative. The thoracoscopic biopsy of the mass showed caseous necrosis with granuloma suggestive of tuberculosis. The culture of bronchoalveolar lavage for mycobacterium tuberculosis was negative. Bronchoscopy showed external compression of all bronchi, no granuloma was found. Human immunodeficiency virus (HIV) antibodies were negative and the immunity analysis didn’t show a primary immunodeficiency.

fetoprotein and ‚ human chorionic gonadotropin were normal.

Infiltrate the upper segment of lungs (figure 2, 3). A computed tomography (CT) and RMN of the chest showed posterior mediastinal mass that Sputum culture, serology of mycoplasma pneumoniae, chlamydiae pneumoniae and trachomatis were negatives. Laboratory analysis showed hypochromic microcytic anemia with haemoglobin level of 8.1 g/dL, hematocrit of 22.3%, MCV of 78.89, MCH of 25pg, white blood cell count of 24800/mm3 (15900 neutrophils, 8500 lymphocytes), platelet count of 664000/mm3, C-reactive protein of 18mg/l. A chest radiographic showed bilateral alveolar infiltrates with upper condensation (figure 1).įigure 1 : Chest-X- Ray showing bilateral lung infiltrates with upper right lung condensation

He doesn’t had hepatomegalia or splenomegalia. He had wheezing and respiratory distress.

At physical examination, his weight was 5600 g and height was 62 cm (-1SD), temperature was 37.7☌, heart rate was 100 beats/min, respiratory rate was 60 cycles/min. We report a 3-month-old boy who presented mediastinal tuberculosis.Ī 3-month-old boy presented with a month history of a cough, wheezing, dyspnoea, fever and persistent pneumonia. Because the clinical and radiological finding may be very similar among these entities, most lesions require biopsy for a definite diagnosis. Mediastinal masses in pediatric age patients have a wide range of differential diagnoses, including benign and malign tumors and chronic infectious process.