An 8-year-old Marasmic Boy with Miliary Tuberculosis: Case Report

Miliary Tuberculosis (TB) is a severe form of TB and accounts for 3-7% of all TB cases with a high mortality rate. This case presents an 8-year-old Indonesia boy with shortness of breath from six months before hospital admission. The patient is also said to have cough and fever throughout the day. The patient's grandfather died 1 year ago due to chronic lung infection. The physical examination of the general condition of the patient showed that the patient was very sick. The nutritional status according to Water low was found to be 61.5%. Pulmonary examination, starting from the inspection, showed a symmetrical chest shape but the right chest movement was seen to be left behind. On palpation, the chest movement is asymmetrical and the right vocal fremitus decreased. Percussion was dim in the right lung. Auscultation revealed bronchial sound and rhonchi in all lung fields. Chest X-ray examination suggest the presence of miliary pulmonary TB, atelectasis on superior lobe of the right pulmonary, and right pleural effusion. In contrast to adult TB, the symptoms of TB in children are often atypical and can interfere with children's growth and development. This case report is made to be able to increase the knowledge of paramedical colleagues in diagnosing and managing TB cases in children