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Yücel Tatan, MD
From the Department of Pediatrics, Cerraphasa Faculty of Medicine, University of Istanbul, Istanbul, Turkey.

Arch Pediatr Adolesc Med. 2000;154:633-634.

	Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

A 3-YEAR-OLD girl had a history of recurrent cough, fever (up to 38.8°C), dyspnea, and weight loss since age 15 months and a family history of tuberculosis. An intradermal tuberculin test (purified protein derivative) had positive results (15 x 15-mm induration). Findings from chest radiograph (Figure 1) revealed a nonhomogeneous pulmonary opacity with irregular borders on the right lower lobe that did not resolve with antituberculous therapy over 1 year. On examination, she had an asymmetrical thorax and minimal intercostal retractions. Breath sounds were decreased over the right lower lobe. Immunoglobulin levels, nitroblue tetrazolium reduction test results, and sweat chloride concentration were within the reference range. Thoracic computed tomography with contrast medium revealed multiple cystic lesions in the right lower lobe, infiltration of the lower lobe, and increase in right lung volume (Figure 2). No foreign body substance was found on bronchoscopy. . . . [Full Text of this Article]