The Turkish Journal of Pediatrics 2014 , Vol 56 , Num 1
Posterior mediastinal mass: an unusual presentation of pediatric tuberculosis
1Pediatric Infectious Diseases Research Center, 2Children’s Medical Center, Tehran University of Medical Sciences, Tehran, Departments of 3Pediatric Infectious Diseases, and 4Pathology, School of Medicine, Qom University of Medical Sciences and Health Services, Qom, 5Research Center for Immunodeficiencies, Children’s Medical Center, 6Molecular Immunology Research Center, and Department of Immunology, School of Medicine, Tehran University of Medical Sciences, Tehran, Iran. E-mail: Mediastinal mass is a rare presentation of tuberculosis in children. The sources of posterior mediastinal mass are usually neurogenic tumors, infections or vascular lesions. Herein, a 12-year-old girl is presented who manifested with a posterior mediastinal mass extending to the right paravertebral space from T3 to T8 with extension to retrocardiac and subcarinal spaces. She suffered from chronic cough, prolonged fever, and weight loss. The results of the tuberculin skin test and biopsy were compatible with tuberculosis. Mediastinal tuberculosis was confirmed histologically and by polymerase chain reaction. The patient was treated with anti-tuberculosis drugs and surgical intervention. Keywords : posterior mediastinal mass, tuberculosis, chronic cough.
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