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Paediatrics and International Child Health Volume 38, 2018 - Issue 1
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Case Reports

A 14-year-old girl presenting with tuberculous intestinal perforation while in a temporary shelter after the 2015 earthquake in Nepal

Dhruba ShresthaSiddhi Memorial Hospital, Bhaktapur, Nepal
,
Manoj Krishna ShresthaSiddhi Memorial Hospital, Bhaktapur, Nepal;Kathmandu Model Hospital, Kathmandu, NepalORCID Iconhttp://orcid.org/0000-0003-1435-3766
ORCID Icon,
Ganendra Bhakta RayaSiddhi Memorial Hospital, Bhaktapur, NepalORCID Iconhttp://orcid.org/0000-0001-6392-3134
ORCID Icon,
Anuj BhattachanInternational Vaccine Institute, Seoul, Korea
,
Kentaro HayashiInstitute of Tropical Medicine, Nagasaki University, Nagasaki, Japan
,
Koya AriyoshiInstitute of Tropical Medicine, Nagasaki University, Nagasaki, Japan;School of Biomedical Sciences, Nagasaki University, Nagasaki, Japan
,
Christopher M. ParrySchool of Tropical Medicine and Global Health, Nagasaki University, Nagasaki, Japan;London School of Hygiene and Tropical Medicine, London, UK
&
Bhim Gopal DhoubhadelSchool of Tropical Medicine and Global Health, Nagasaki University, Nagasaki, JapanCorrespondence[email protected]
ORCID Iconhttp://orcid.org/0000-0001-5279-2044
ORCID Icon show all
Pages 69-72 | Received 16 Apr 2016, Accepted 22 Sep 2016, Published online: 25 Jan 2017
 
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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.

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