CASE REPORT article
Front. Pediatr.
Sec. Pediatric Pulmonology
Volume 13 - 2025 | doi: 10.3389/fped.2025.1559240
Use of extracorporeal support to treat a fulminant Mycobacterium bovis infection and complex broncho-oesophageal fistula in a child
Provisionally accepted- 1Great Ormond Street Hospital for Children NHS Foundation Trust, London, United Kingdom
- 2University Hospitals Sussex NHS Foundation Trust, Chichester, United Kingdom
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Tuberculosis (TB), caused by Mycobacterium tuberculosis remains a significant public health issue. Human TB caused by Mycobacterium bovis (M. bovis) is rare accounting for less than 1% of TB cases in UK annually. Tuberculosis secondary to immunomodulating agents is well described. We present a case of airway and pulmonary TB caused by M. bovis, likely due to zoonotic transmission, in an immunocompromised child due to medical management of Crohn's disease.Management required extracorporeal membrane oxygenation for complex surgical interventions on airway and oesophagus.
Keywords: ECMO, Mycobacterium, Broncho-oesophageal fistula, Pneumonectomy, Oesophageal surgery
Received: 12 Jan 2025; Accepted: 18 Aug 2025.
Copyright: © 2025 MRCP, Paget, Grandjean, Bamford, Pandey, Fidler, Snowden, BEEMAN, Shetty and Muthialu. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
* Correspondence: Nagarajan Muthialu, Great Ormond Street Hospital for Children NHS Foundation Trust, London, WC1N 3JH, United Kingdom
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