Thorax
Volume 72, Issue 3, 2017, Pages 282-283

Pott's disease: A major issue for an unaccompanied refugee minor (Article)

Papan C.* , Von Both U. , Kappler M. , Kammer B. , Griese M. , Huebner J.
  • a University Children's Hospital, Dr. von Haunersches Kinderspital, LMU Munich, Lindwurmstr. 4, Munich, 80337, Germany
  • b University Children's Hospital, Dr. von Haunersches Kinderspital, LMU Munich, Lindwurmstr. 4, Munich, 80337, Germany
  • c University Children's Hospital, Dr. von Haunersches Kinderspital, LMU Munich, Lindwurmstr. 4, Munich, 80337, Germany
  • d University Children's Hospital, Dr. von Haunersches Kinderspital, LMU Munich, Lindwurmstr. 4, Munich, 80337, Germany
  • e University Children's Hospital, Dr. von Haunersches Kinderspital, LMU Munich, Lindwurmstr. 4, Munich, 80337, Germany
  • f University Children's Hospital, Dr. von Haunersches Kinderspital, LMU Munich, Lindwurmstr. 4, Munich, 80337, Germany

Abstract

The incidence of TB in children in Germany has been on a rise since 2008, especially among foreign-born individuals. With rapidly increasing numbers of refugees from the numerous areas of conflict, this increase in incidence is not expected to halt, neither in Germany nor in Europe in general. We report a case of insufficient tracking in a 16-year-old unaccompanied refugee minor from Somalia who had a positive interferon γ release assay on arrival in Germany. No actions were undertaken, until 6 months later, an X-ray showed prominent hilar enlargement. Nine months later, the patient presented to our hospital with abdominal pain, vomiting and B symptoms. Workup revealed a paravertebral abscess due to Pott's disease, a skeletal manifestation of Mycobacterium tuberculosis disease. The patient made a full recovery after a combination therapy for a total of 9 months. © 2017 BMJ Publishing Group Limited.

Author Keywords

[No Keywords available]

Index Keywords

spondylitis Germany differential diagnosis Diagnosis, Differential erythrocyte sedimentation rate refugee vomiting night sweat abdominal pain mediastinum mass auscultation human Refugees interferon gamma release assay Interferon-gamma Release Tests Mycobacterium tuberculosis nonhuman lymphadenopathy laboratory test diagnostic imaging Humans tuberculostatic agent Antitubercular Agents Adolescent weight reduction case report male acid fast bacterium nuclear magnetic resonance imaging tuberculous spondylitis sputum cytodiagnosis Tuberculosis, Spinal Article C reactive protein epigastric pain fever isoniazid Somalia thorax radiography antibiotic sensitivity computer assisted tomography chronic hepatitis B ethambutol Abscess rifampicin pyrazinamide
Link
https://www.scopus.com/inward/record.uri?eid=2-s2.0-84998879829&doi=10.1136%2fthoraxjnl-2016-209468&partnerID=40&md5=f412370b911d9cc736f0a726d3cb56a3
DOI: 10.1136/thoraxjnl-2016-209468
ISSN: 00406376
Cited by: 5
Original Language: English