TUBERCULOSIS IN A YOUNG BASEBALL PLAYER

This report of a 10-year-old pitcher with chest pain illustrates how a n atypical presentation of pulmonary tuberculosis in an athlete can de lay diagnosis. In addition to a history, physical examination, and che st radiographs, the tuberculin skin test is the key to diagnosis of th is disease. Laboratory work includes blood tests, liver and renal func tion studies, analysis of aspirated fluids, and sputum cultures. Treat ment generally consists of daily doses of isoniazid, rifampin, pyrazin amide, and ethambutol or streptomycin. Screening close contacts such a s teammates is essential; prophylaxis using isoniazid must be initiate d for those who test positive.