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Images in paediatrics
Double trouble: a case of pulmonary tuberculosis and foreign body aspiration in a teenager
  1. Rachael Dawson,
  2. Phil Dykes
  1. Paediatric Emergency, Nottingham University Hospitals NHS Trust, Nottingham, UK
  1. Correspondence to Dr Rachael Dawson, Paediatric Emergency, Nottingham University Hospitals NHS Trust, Nottingham NG7 2UH, UK; rachael.dawson{at}

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A 16-year-old girl attended the emergency department with 3 weeks of productive cough, fever, myalgia and intermittent night sweats. She reported several days of emesis, dyspnoea and pleuritic chest pain but denied haemoptysis. On examination, she was diaphoretic, tachycardic and tachypnoeic. Auscultation revealed left basal inspiratory crackles and reduced air entry. Chest X-ray (CXR) showed ‘left-sided pleural effusion, patchy consolidation and opacity over the left lung field, which is presumably artefactual’.

Intravenous fluids and oral antibiotics were given. …

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  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Provenance and peer review Not commissioned; internally peer reviewed.