Objective:

To present a case of a 6-year-old child with severe complications from tuberculosis, including deep vein thrombosis and enterocutaneous fistula, and to highlight the complexities and significance of managing such cases in pediatric tuberculosis.

Key Findings:

• The child had severe acute malnutrition and widespread tuberculosis with rare complications, underscoring the need for vigilance in pediatric TB cases.
• Bilateral proximal deep vein thrombosis was identified, highlighting the increased risk in pediatric TB cases and the need for preventive measures.
• The management involved a multidisciplinary approach, including nutritional support and specialized medical treatment, which is crucial for similar cases.

Interpretation:

This case underscores the challenges in diagnosing and managing pediatric tuberculosis, particularly with rare complications, and the need for comprehensive care strategies and awareness among healthcare providers.

Limitations:

• The case is a single instance and may not represent broader trends in pediatric tuberculosis management, introducing potential biases.
• Limited generalizability due to the specific context of the case in Ethiopia.

Conclusion:

The successful management of this complex case illustrates the importance of early diagnosis and a multidisciplinary approach in treating severe pediatric tuberculosis.