TUBERCULOSIS PATTERN ON CHEST X-RAY OF A 16-YEAR-OLD FEMALE WITH DROWNING-RELATED ASPIRATION PNEUMONIA IN ENDEMIC COUNTRY, INDONESIA: A CASE REPORT
DOI:
https://doi.org/10.53366/jimki.v11i2.807Keywords:
Aspiration Pneumonia, Drowning, Haemoptysis, Tuberculosis, X-RayAbstract
Background: Aspiration pneumonia is a process of lung infection that occurs after abnormal fluid ingress in the lower respiratory tract. Drowning is one of the most common cause of aspiration pneumonia. The diagnosis of aspiration pneumonia can be confirmed through history taking, physical examination, and supporting examination for appropriate therapy. Here we report a case of aspiration pneumonia due to drowning that had a radiological appearance of fibroinfiltrates resembling pulmonary TB.
Case Illustration: A 16-year-old girl presented with symptoms of decreased consciousness, fever, shortness of breath, and haemoptysis after drowning in a river. The patient was diagnosed with aspiration pneumonia based on clinical manifestations, but the patient was suspected of having pulmonary TB from the chest X-ray. The patient was treated according to the management of aspiration pneumonia rather than TB to avoid treatment resistance and side effects.
Conclusion: This report shows the importance to assess the symptoms of aspiration pneumonia or TB in children with symptoms of shortness of breath and haemoptysis to avoid inappropriate therapy.
References
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2. Newth CJL, Hammer J, Numa AH. Drowning. Kendig’s Disord Respir Tract Child Ninth Ed [Internet]. 2023 Aug 8 [cited 2024 Feb 4];634-638.e2. Available from: https://www.ncbi.nlm.nih.gov/books/NBK430833/
3. Beck B, Smith K, Mercier E, Bernard S, Jones C, Meadley B, et al. Potentially preventable trauma deaths: A retrospective review. Injury [Internet]. 2019 May 1 [cited 2024 Feb 4];50(5):1009–16. Available from: https://pubmed.ncbi.nlm.nih.gov/30898389/
4. Adeloye D, Bowman K, Chan KY, Patel S, Campbell H, Rudan I. Global and regional child deaths due to injuries: an assessment of the evidence. J Glob Health [Internet]. 2018 [cited 2024 Feb 4];8(2). Available from: https://pubmed.ncbi.nlm.nih.gov/30675338/
5. Buzzacott P, Mease A. Pediatric and adolescent injury in aquatic adventure sports. Res Sports Med [Internet]. 2018 Apr 26 [cited 2024 Feb 4];26(sup1):20–37. Available from: https://pubmed.ncbi.nlm.nih.gov/30431355/
6. Sanivarapu RR, Gibson J. Aspiration Pneumonia. StatPearls [Internet]. 2023 May 8 [cited 2024 Feb 4]; Available from: https://www.ncbi.nlm.nih.gov/books/NBK470459/
7. Indriyani N, Herman D, Medison I, Fitrina DW, Mizarti D. Pneumonia Aspirasi Akibat Nonfatal Drowning. J Hum Care. 2022;7(1):93–103.
8. Kesehatan K. Pedoman Nasional Pelayanan Kedokteran. 2019;1(1):2019.
9. Kaaffah S, Kusuma IY, Renaldi FS, Lestari YE, Pratiwi ADE, Bahar MA. Knowledge, Attitudes, and Perceptions of Tuberculosis in Indonesia: A Multi-Center Cross-Sectional Study. Infect Drug Resist. 2023 Mar 28;16:1787-1800. doi: 10.2147/IDR.S404171. PMID: 37013169; PMCID: PMC10066633.
10. Seung KJ, Keshavjee S, Rich ML. Multidrug-Resistant Tuberculosis and Extensively Drug-Resistant Tuberculosis. Cold Spring Harb Perspect Med. 2015 Apr 27;5(9):a017863. doi: 10.1101/cshperspect.a017863. PMID: 25918181; PMCID: PMC4561400.
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2025-04-30
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TUBERCULOSIS PATTERN ON CHEST X-RAY OF A 16-YEAR-OLD FEMALE WITH DROWNING-RELATED ASPIRATION PNEUMONIA IN ENDEMIC COUNTRY, INDONESIA: A CASE REPORT. (2025). JIMKI: Jurnal Ilmiah Mahasiswa Kedokteran Indonesia, 11(2), 16-21. https://doi.org/10.53366/jimki.v11i2.807
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