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Abstract
This article has no abstract. The first 100 words appear below: A 9-year-old girl of non-consanguineous parents presented at the outpatient department with the history of jaundice and abdominal distension for 20 days and respiratory distress for 7 days. She also complained of bloody vomiting without any melena. The mother gave the history of abdominal pain for 2 days which was diffuse in nature. Her menarche had not started yet. Her younger sister is healthy. She had no history of fever, constipation, family history of liver disease, sib death, contact with known tuberculosis patient, blood transfusion or parenteral medication. On examination, she was afebrile, moderately pale, dyspnea and leukonychia. Bilateral pedal edema was present.
Highlights
The gold standard for the diagnosis of tuberculous pleural effusion is the detection of Mycobacterium tuberculosis in the pleural fluid or pleural biopsy specimen or the presence of caseating granulomas in the pleura along with bacilli
Dr Mondal: The spontaneous bacterial pleuritis is a major complication of the hepatic hydrothorax
The patient usually presents with fever, a feature of pleuritic chest pain with or without the feature of encephalopathy
Summary
Department of Pediatric Gastroenterology and Nutrition, Faculty of Pediatrics, Bangabandhu Sheikh Mujib Medical University, Dhaka, Bangladesh. Received: Accepted: Available Online: Keywords: Abdominal distension; Hematemesis; Hydrothorax; Jaundice; Melena; Pleural effusion; Tuberculosis; Wilson disease Cite this article: Marjan P, Rukunuzzaman M, Karim ASMB, Mondal M, Akter H. A 9-year-old girl presented with jaundice, abdominal distension, hematemesis, melena and pleural effusion. Bangabandhu Sheikh Mujib Med Univ J. 2018; 11: 300-303. Copyright: The copyright of this article is retained by the author(s) [Atribution CC-By 4.0] Available at: www.banglajol.info A Journal of Bangabandhu Sheikh Mujib Medical University, Dhaka, Bangladesh
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