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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
Hussein  Hussein MRCPHussein Hussein MRCP1Richard  PagetRichard Paget1Louis  GrandjeanLouis Grandjean1Alasdar  BamfordAlasdar Bamford1Ashwin  PandeyAshwin Pandey1Katy  FidlerKaty Fidler2Claire  SnowdenClaire Snowden2ARUN  BEEMANARUN BEEMAN1Pooja  ShettyPooja Shetty1Nagarajan  MuthialuNagarajan Muthialu1*
  • 1Great Ormond Street Hospital for Children NHS Foundation Trust, London, United Kingdom
  • 2University Hospitals Sussex NHS Foundation Trust, Chichester, United Kingdom

The final, formatted version of the article will be published soon.

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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