TUBERCULOSIS PATTERN ON CHEST X-RAY OF A 16-YEAR-OLD FEMALE WITH DROWNING-RELATED ASPIRATION PNEUMONIA IN ENDEMIC COUNTRY, INDONESIA: A CASE REPORT

• Nabil Athoillah

  Faculty of Medicine, University of Jember/ dr. Soebandi General Hospital, Jember, Indonesia

• Ditya Pramudyaning Tias

  Faculty of Medicine, University of Jember/ dr. Soebandi General Hospital, Jember, Indonesia

• Ichlasul Mahdi Fardhani

  Faculty of Medicine, University of Jember/ dr. Soebandi General Hospital, Jember, Indonesia

• Setiadi Drajad Kurniawan

  Department of Thoracic and Cardiovascular Surgery, Faculty of Medicine, University of Jember/dr. Soebandi General Hospital, Jember, Indonesia

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.

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