Abstract

Diagnosis of pulmonary lesions in HIV infected children can be challenging. If in adults to obtain sputum samples to support the diagnosis of pulmonary tuberculosis is relatively easy, establishing diagnosis in children can be more difficult. Pulmonary tuberculosis is the most frequent opportunistic infection in HIV infected patients from low and middle income countries and therefore it is one of the first suspected etiology in cases with abnormal chest X ray. However, in case of an interstitial pneumonia, especially in children, it is important to take in consideration also other etiologies. We present the case of a 2 year old girl, diagnosed with HIV infection during a recurrent episode of parotiditis. Even if the initial clinical aspect and laboratory exam suggested a pulmonary tuberculosis, the supposition was not confirmed. The pulmonary disease was most probable a lymphocytic interstitial pneumonia in a HIV infected child with high positive titers of IgG anti Epstein Barr virus.

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