Acta Scientific Paediatrics (ISSN: 2581-883X)

Case Report Volume 3 Issue 3

Ileocaecal Tuberculosis in A Nigerian Child: A Case Report

Oloyede IP1*, Dixon-Umo OT1, Akpanudo EI2, David UD3 and Etuk J-F4

1Senior Lecturer and Honorary Consultant, Department of Paediatrics, University of Uyo and University of Uyo Teaching Hospital, Nigeria
2Senior Lecturer and Honorary Consultant, Department of Paediatric Surgery, University of Uyo and University of Uyo Teaching Hospital, Nigeria
3Senior Registrar, Department of Paediatrics, University of Uyo Teaching Hospital, Nigeria
4Registrar, Department of Paediatrics, University of Uyo teaching Hospital, Nigeria

*Corresponding Author: IP Oloyede, Senior Lecturer and Honorary Consultant, Department of Paediatrics, University of Uyo and University of Uyo Teaching Hospital, Nigeria.

Received: February 08, 2020; Published: February 28, 2020

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  Childhood Tuberculosis is a public health emergency in Nigeria. Abdominal tuberculosis (TB) is one of the commonest forms of extrapulmonary TB with nonspecific and protean clinical manifestations. We present a 5 year old girl with fever of two weeks, abdominal pain and swelling of three days duration and vomiting of two days duration. Other symptoms were anorexia, generalised body weakness and weight loss. Her significant physical findings were, moderate pallor, underweight, submandibular lymphadenopathy, abdominal distension, doughy abdomen and a tender tubular mass extending from the right lumbar to right iliac region. Her significant investigation results were a manteoux of 18mm, thickened ascending colon on abdominopelvic ultrasound scan and a histologic picture of caseous granuloma from a mesenteric lymphnode biopsy. Exploratory laparotomy revealed multiple caseation on the distal ileum, caecum and adjoining mesentery with a partially occluded caecal and ileal lumen and multiple mesenteric lymph node enlargement with a viable gut. A diagnosis of partial intestinal obstruction secondary to ileocaecal TB was made and she was managed with short course anti-tuberculous medication for a total of six months and had a good response.

  In conclusion abdominal TB is still seen in Nigerian children. A high index of suspicion is essential for its’ diagnosis. Anti-tuberculous medication is still the treatment of choice and surgery should be reserved for diagnosis and treatment of complications.

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Citation

Citation: Oloyede IP., et al. “Ileocaecal Tuberculosis in A Nigerian Child: A Case Report”. Acta Scientific Paediatrics 3.3 (2020): 66-70.



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