{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,7,30]],"date-time":"2025-07-30T08:07:58Z","timestamp":1753862878212,"version":"3.41.2"},"reference-count":33,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2023,6,20]],"date-time":"2023-06-20T00:00:00Z","timestamp":1687219200000},"content-version":"vor","delay-in-days":19,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Clinical Case Reports"],"published-print":{"date-parts":[[2023,6]]},"abstract":"<jats:sec><jats:title>Key Clinical Message<\/jats:title><jats:p>Extrapulmonary <jats:styled-content style=\"fixed-case\">TB<\/jats:styled-content> presenting as multiloculated pleural fluid collections is rare in persons less than 18\u2009years of age, but it can occur. High index of suspicion is important in establishing early diagnosis and treatment to reduce morbidity and mortality.<\/jats:p><\/jats:sec><jats:sec><jats:title>Abstract<\/jats:title><jats:p>We present a case report of an immunocompetent African young man who presented with persistent chest pain and fever, and was diagnosed with extrapulmonary tuberculosis (EPTB) following chest CT scan, pleural biopsy histopathology examination, and Ziehl\u2013Neelsen (ZN) staining, and pleural fluid Gene Xpert studies.<\/jats:p><\/jats:sec>","DOI":"10.1002\/ccr3.7574","type":"journal-article","created":{"date-parts":[[2023,6,21]],"date-time":"2023-06-21T04:30:01Z","timestamp":1687321801000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["A case report of a 16\u2010year\u2010old male with extrapulmonary tuberculosis presenting as multiloculated mediastinal, pleural, and paravertebral fluid collections with chest pain, Eldoret, Kenya"],"prefix":"10.1002","volume":"11","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-0648-6887","authenticated-orcid":false,"given":"Maureen Aleyo","family":"Maleche","sequence":"first","affiliation":[{"name":"Department of Medicine Moi University College of Health Sciences  Eldoret Kenya"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Betty","family":"Sirera","sequence":"additional","affiliation":[{"name":"Department of Medicine Moi University College of Health Sciences  Eldoret Kenya"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kennedy Barasa","family":"Masika","sequence":"additional","affiliation":[{"name":"Department of Medicine Moi University College of Health Sciences  Eldoret Kenya"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kibbet Kobor","family":"Keitany","sequence":"additional","affiliation":[{"name":"Moi Teaching and Referral Hospital  Eldoret Kenya"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Chrispine","family":"Oduor","sequence":"additional","affiliation":[{"name":"Department of Medicine Moi University College of Health Sciences  Eldoret Kenya"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lameck","family":"Diero","sequence":"additional","affiliation":[{"name":"Department of Medicine Moi University College of Health Sciences  Eldoret Kenya"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2023,6,20]]},"reference":[{"volume-title":"Global Tuberculosis Report 2020","year":"2020","author":"Organization WH","key":"e_1_2_11_2_1"},{"volume-title":"Global Tuberculosis Report 2021: Supplementary Material","year":"2022","author":"Organization WH","key":"e_1_2_11_3_1"},{"key":"e_1_2_11_4_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.38684.687940.80"},{"issue":"11","key":"e_1_2_11_5_1","first-page":"1226","article-title":"The diagnosis and misdiagnosis of tuberculosis [state of the art series. 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