PMC7608070_01
Chest radiograph showing a miliary pattern on the admission to the hospital.
1678-9946-rimtsp-62-S1678-9946202062078-gf01.jpg
PMC7608070_01_1678-9946-rimtsp-62-S1678-9946202062078-gf01.jpg
f01
Chest radiography presented a miliary pattern ( Figure 1 ).
Intestinal tuberculosis in a 4 year old child: A) Granulomatous reaction in the intestinal lamina propria (HE, 100 x); B) Epithelioid histiocytes, lymphocytes and few eosinophils forming the intestinal granulomatous reaction (HE, 400 x); C) Positive detection of BCG antigen in the cytoplasm of some histiocytes (arrows, Immunohistochemistry, 1000 x).
1678-9946-rimtsp-62-S1678-9946202062078-gf02.jpg
PMC7608070_01_1678-9946-rimtsp-62-S1678-9946202062078-gf02.jpg
f02
A duodenal biopsy showed chronic duodenitis and a positive acid-fast bacilli test ( Figure 2 ), confirming the diagnosis of disseminated tuberculosis.
Abdominal tomography showing parietal thickening of the sigmoid (red arrow). Jejunal loops present clusters with difficult identification of their contours (yellow arrow).
1678-9946-rimtsp-62-S1678-9946202062078-gf03.jpg
PMC7608070_01_1678-9946-rimtsp-62-S1678-9946202062078-gf03.jpg
f03
The abdominal tomography revealed lymphadenopathy, jejunal loops clusters with difficult identification of their contours, distal ileal and sigmoid wall thickening ( Figure 3 ).