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Open AccessCase Report
Reports 2018, 1(2), 12; https://doi.org/10.3390/reports1020012

TB Presenting as Recurrent Pneumonia in a HIV-Infected Infant in Central Viet Nam

1
Respiratory Department, Da Nang Hospital for Women and Children, Da Nang 550000, Viet Nam
2
Discipline of Child and Adolescent Health, The Children’s Hospital at Westmead, The University of Sydney, Sydney 2145, Australia
3
Intensive Care Unit, Da Nang Hospital for Women and Children, Da Nang 55000, Viet Nam
4
Infectious Diseases Department, Da Nang Hospital for Women and Children, Da Nang 55000, Viet Nam
5
Marie Bashir Institute for Infectious Diseases and Biosecurity, The University of Sydney, Sydney 2145, Australia
*
Author to whom correspondence should be addressed.
Received: 19 July 2018 / Revised: 6 August 2018 / Accepted: 6 August 2018 / Published: 7 August 2018
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Abstract

We report on a six-month-old infant admitted to our intensive care unit (ICU) with recurrent severe pneumonia. The mother was infected with human immunodeficiency virus (HIV)-infected, but initially failed to disclose this to doctors. Neither did she report the grandmother of the child’s chronic coughing, likely due to tuberculosis (TB). The infant was diagnosed with X-pert MTB/RIF® confirmed TB and tested positive for HIV infection. Once a correct diagnosis was established, the child demonstrated good recovery with appropriate TB and antiretroviral treatment (ART). The case demonstrates the importance of including TB in the differential diagnosis for young children not responding to first-line pneumonia treatment, especially in TB endemic areas. Taking a meticulous TB and HIV exposure history, with careful consideration of potential social stigma, is essential. It also demonstrates how the inaccessibility of HIV results and the absence of a continuous patient record may jeopardize patient care. View Full-Text
Keywords: tuberculosis; Mycobacterium tuberculosis; infant; HIV; opportunistic infection tuberculosis; Mycobacterium tuberculosis; infant; HIV; opportunistic infection
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Nguyen, P.; Nguyen, S.; Nguyen, T.; Marais, B. TB Presenting as Recurrent Pneumonia in a HIV-Infected Infant in Central Viet Nam. Reports 2018, 1, 12.

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