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We present a case of airway and pulmonary TB caused by <jats:italic>M. bovis<\/jats:italic>, 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.<\/jats:p>","DOI":"10.3389\/fped.2025.1559240","type":"journal-article","created":{"date-parts":[[2025,9,5]],"date-time":"2025-09-05T13:17:22Z","timestamp":1757078242000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":1,"title":["Case Report: Use of extracorporeal support to treat a fulminant Mycobacterium bovis infection and complex broncho-oesophageal fistula in a child"],"prefix":"10.3389","volume":"13","author":[{"given":"Hussein","family":"Hussein","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Richard","family":"Paget","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Louis","family":"Grandjean","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alasdair","family":"Bamford","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ashwin","family":"Pandey","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Katy","family":"Fidler","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Claire","family":"Snowden","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Arun","family":"Beeman","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Pooja","family":"Shetty","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nagarajan","family":"Muthialu","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1965","published-online":{"date-parts":[[2025,9,5]]},"reference":[{"year":"","key":"B1","article-title":"Bovine Tuberculosis: Mycobacterium Bovis Notifications to National Tuberculosis Surveillance: UK, 2000 to 2023; 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