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Published 16 February 2009
Cite this as: BMJ Case Reports 2009 [doi:10.1136/bcr.06.2008.0293]
Copyright © 2009 by the BMJ Publishing Group Ltd.

Unusual presentation of more common disease/injury

Extensively drug resistant tuberculosis in a 7-year-old child with interferon-{gamma} and interleukin-12 deficiency

Ketan Kulkarni, Meenu Singh, Pooja Soneja, Joseph Mathew, Ram Kumar Marwaha

Department of Pediatrics, Advanced Pediatrics Center, PGIMER, Chandigarh, 160012, India

Correspondence to:
meenusingh4{at}rediffmail.com

SUMMARY

Defects in interferon-{gamma} axis have been shown to be associated with disseminated mycobacterial disease. A case of a previously healthy HIV seronegative child with disseminated extensively drug resistant Mycobacterium tuberculosis infection presenting as splenic abscesses with lymphadenopathy and progressing to disseminated tuberculosis with absent interferon-{gamma} and interleukin-12 production is reported here.


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