| Summary: | Os autores relatam caso de adolescente de 13 anos com diagnóstico de tuberculose disseminada caracterizada por otomastoidite bilateral, dor abdominal, ascite e pneumonia alveolar apical, com história prévia de contacto de tuberculose, métodos de imagem mostrando achados na mastóide, abdome e tórax. Houve confirmação da doença através da cultura positiva para Mycobacterium tuberculosis do material de drenagem cirúrgica da mastóide. Após seis meses de tratamento com tuberculostáticos, houve remissão dos sintomas e regressão do quadro radiológico.<br>The authors report the case of a 13 year-old boy with disseminated tuberculosis evidenced by bilateral otomastoiditis associated to abdominal pain, ascites and apical alveolar pneumonia, prior history of contact with tuberculosis (TB) patients and radiology findings at mastoiditis, abdominal tract and thorax. Diagnosis was confirmed through positive culture for Mycobaterium tuberculosis from mastoiditis surgical drainage. After 6 months of anti-tuberculosis treatment there was remission of symptoms and regression of radiology findings.
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