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A 9-year-old British Asian girl with asthma was referred by her general practitioner to outpatients with a 12-month history of dry cough and an abnormal chest radiograph. There was no history of recent travel, tuberculosis (TB) exposure or clinical features to suggest TB such as weight loss and night sweating. She received courses of antibiotics without improvement. She was fully immunised including BCG vaccine. She had chickenpox (varicella) infection aged 3 years. On assessment, she …
Contributors MAE reviewed the child in the outpatient clinic and drafted the manuscript. HW provided the radiological opinion and with IW revised the manuscript.
Competing interests None.
Patient consent Obtained.
Provenance and peer review Not commissioned; internally peer reviewed.
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