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Nastiti N. Rahajoe
Department of Child Health, University of Indonesia Medical School/Dr. Cipto Mangunkusumo Hospital, Jakarta
Health Professions Medicine & Pharmacology

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Tuberculous empyema in children Nastiti N. Rahajoe; IGAN Partiwi; I. Boediman; Noenoeng Rahajoe; Bambang Supriyatno
Paediatrica Indonesiana Vol 39 No 11-12 (1999): November - December 1999
Publisher : Indonesian Pediatric Society

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (3105.411 KB) | DOI: 10.14238/pi39.11-12.1999.330-6

Abstract

We present a case of tuberculous empyema in a 14 month old girl. The diagnosis was primarily based on the history of the course of disease and a highly suspected contagious person. On physical examination, she was undernourished with enlargement of the lymph nodes prominently at the lateral of the neck. Aspiration of pleural fluid showed pus. Other findings were high blood sedimentation rate and a positive Mantoux test. The evidence of Mycobacterium tuberculosis from the pus culture confirmed the diagnosis. Before the diagnosis of pulmonary tuberculosis was established, cefuroxime was administered as the antibiotic of choice for eradicating any susceptible bacteria. Specific anti-tuberculosis therapy was then administered. In addition, water sealed drainage was performed in order to expand the lungs. However, this approach was insufficient due to abundant production of pus, therefore, surgical drainage was done with a good result. In order to avoid any further complications in the treatment of tuberculous empyema such as bronchopleural fistulas or drug resistancy, this child still requires a long-time follow up after discharged from hospital.
Co-Authors Bambang Supriyatno I. Boediman IGAN Partiwi Noenoeng Rahajoe