Information on 3 IACs with chest radiograph result: “Abnormal, consistent with TB”
Patient
#1
Gender
Female
Age
23 months
Country of
TB related symptoms
TST induration
Excerpts from official CXR
Origin
on presentation?*
(mm)
reading
Nepal
No
7.5
Subsequent action and CXR interpretation
“patchy parenchymal disease in the
CXR reviewed by TB specialist at the county
right middle lobe… may represent
TB clinic and interpreted as pneumonia. Child
atelectasis, infiltrate and/or fibrosis
received standard treatment for pneumonia and
which may be related to pulmonary
had resolution on CXR. Child started on LTBI
TB.”
treatment.
“cardiomegaly and increased
#2
Male
9 months
Guatemala
No
16.9
perihilar markings which [were]
CXR reviewed by pediatric radiologist who
difficult to distinguish from
was aware of the child’s diagnosis of
lymphadenopathy.” CT scan
Tetralogy of Fallot. CXR interpreted as
recommended for further
showing no evidence of pulmonary TB. Child
evaluation.
started on LTBI treatment
“Possible right hilar adenopathy
#3
Female
16.5 months
Philippines
No
12
and bilateral prominent lung
CXR reviewed by pediatric radiologist and
markings. This may be due to
interpreted as showing “no pathology
reactive airway disease, however in
indicating TB with a normal hilum and poor
the setting of positive PPD, a CT
inspiratory effort. No follow up studies
scan [was] recommended for
recommended.” Child started on LTBI
further evaluation.”
treatment
*TB related symptoms include cough, wheezing, rash, fever, weight loss, decreased appetite, decreased activity, musculoskeletal pain, lymph node swelling, personality changes or jaundice
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