A 14-year-old girl presenting with tuberculous intestinal perforation while in a temporary shelter after the 2015 earthquake in Nepal. (2nd January 2018)

• Record Type: Journal Article
• Authors: Shrestha, Dhruba; Shrestha, Manoj Krishna; Raya, Ganendra Bhakta; Bhattachan, Anuj; Hayashi, Kentaro; Ariyoshi, Koya; Parry, Christopher M.; Dhoubhadel, Bhim Gopal
• Is Part Of: Paediatrics and international child health. Volume 38:Number 1(2018)
• Page Start: 69
• Page End: 72
• Publication Date: 2018-01-02
• Subjects: Intestinal perforation -- tuberculosis -- peritonitis -- children -- earthquake -- Nepal; Pediatrics -- Developing countries -- Periodicals; Children -- Health and hygiene -- Developing countries -- Periodicals; Children -- Diseases -- Developing countries -- Periodicals; 618.920009172405
• DOI: 10.1080/20469047.2016.1265233
• Languages: English
• ISSNs: 2046-9047

Abstract

Abstract: A 14-year-old Nepalese girl presented with fever, abdominal pain and vomiting. She was living with her family in a temporary settlement camp following the earthquake in Nepal in 2015. She had had abdominal pain for 2 months and fever for 1 month. Abdominal examination suggested acute peritonitis. At laparotomy, three ileal perforations were detected and histopathology demonstrated caseous granulomas. Her father had sputum-positive pulmonary tuberculosis. She was diagnosed with abdominal tuberculosis and responded well to anti-tuberculosis chemotherapy. Intestinal perforation is a rare complication of tuberculosis in children.