Tuberculous damaged lung in a child.

Tuberculosis (TB) remains the great pretender. We report the case of a 10-year-old female, who presented with a mass in the left chest that was suspected initially to be a tumor. This was later confirmed to be tuberculous in nature, with dissemination to the liver. A large granuloma eventually replaced the left lung, leaving her with tuberculous destroyed lung (TDL), an extremely rare, life-threatening sequela of the disease. We review the pathophysiology, radiologic findings, and management options, which includes pneumonectomy, for this seldom seen but preventable condition. Pediatr Pulmonol. 2011; 46: 12471250. (C) 2011 Wiley Periodicals, Inc.