Diversity Presentation of Pulmonary Tuberculosis in Children: A Case Series of Three Patients

Malaysia, among other developing countries has significant tuberculosis (TB) morbidity and mortality. Variation in presentations with subtle symptoms plays a crucial role in diagnosis challenges. Depending on the stage of the disease, patient may be presented with spectrum of no symptoms up to severe complications of the disease including extensive miliary TB. Diagnosis requires a high index of suspicion. In addition to that, positive yield of the sampling for microbiological investigation is difficult as the pathophysiology involving paucibacillary tuberculous. In this case series, we discuss three cases of diversity in presentation of pulmonary tuberculosis in children.