Parnpen ViriyavejakulVorachai SirikulchayanontaMahidol University2018-07-042018-07-041997-03-01Southeast Asian Journal of Tropical Medicine and Public Health. Vol.28, No.1 (1997), 235-236012515622-s2.0-0031087761https://repository.li.mahidol.ac.th/handle/20.500.14594/18153We report a case of miliary tuberculosis in a 10-month old female with unusual matted giant mesenteric lymph nodes. She presented with prolonged fever and poor feeding for two months. With the evidence of miliary pattern in chest X-ray and the positive acid-fast bacilli from the sputum, she was treated with antituberculous chemotherapy. She died from pneumomediastinum and pneumopericardium. Postmortem findings disclosed miliary tuberculosis involving major organs. Acid-fast bacilli were numerous. Large matted mesenteric lymph nodes measuring 10 × 6 × 5 cm3 were noted. A strikingly large palpable matted mesenteric lymph nodes in suspected miliary tuberculosis should not be confused with tumors in the children.Mahidol UniversityMedicineArticleSCOPUS