An 11 year old boy developed breathlessness over 12
days and was admitted to the local hospital with
facial oedema and engorged neck veins. He had been
"less active" and "feeling unwell" for one month. His
father had been diagnosed and treated for pulmonary
tuberculosis in the past year. Chest x ray showed a
superior mediastinal mass (Figure 1). To relieve
increasing respiratory difficulty he had been
administered intravenous hydrocortisone 100 mg six
hourly for 2 days followed by oral dexamethasone 4
mg six hourly for 6 days eight days prior to transfer
to Colombo.
An 11 year old boy developed breathlessness over 12
days and was admitted to the local hospital with
facial oedema and engorged neck veins. He had been
"less active" and "feeling unwell" for one month. His
father had been diagnosed and treated for pulmonary
tuberculosis in the past year. Chest x ray showed a
superior mediastinal mass (Figure 1). To relieve
increasing respiratory difficulty he had been
administered intravenous hydrocortisone 100 mg six
hourly for 2 days followed by oral dexamethasone 4
mg six hourly for 6 days eight days prior to transfer
to Colombo.
