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BACKGROUND AND OBJECTIVE: Pulmonary tuberculosis in children is potentially lethal infection and may induce several discomforts for children. The disorder presents with various clinical manifestations and occasionally with bacterial or viral pneumonia pictures. The goal of this study was to consider pulmonary tuberculosis in all patients with febrile pulmonary disease. CASE: A 2.5 year old girl with chief complaints of fever and cough 10 days prior to admission that was worsened since 3 days ago referred to Amirkola hospital. Also a piece of dried fruit shell has been extracted from her lung 8 months ago, but did not have complete improvement. Two days prior to admission over one thousand hens died due to bird flu in her house. Chest x-ray revealed presentations like pneumonia, but pneumonia did not response to antibacterial and antiviral drugs and blood and sputum cultures were negative, PPD skin test was done with 20 millimeter induration, and gastric juice staining for mycobacterial bacilli was done that was positive, thus she improved with anti-tuberculosis drugs.CONCLUSION: Pulmonary tuberculosis can present with several unusual pictures and if represent acutely must be differentiated from bacterial or viral pneumonia.

Introduction: Knowing about web-based education outcomes compared to traditional method can help instructors to use more effective methods for future continuing education Programs. The aim of this study was to compare the effect of web-based and traditional teaching methods on nurses' knowledge about Bird Flu. Methods: In this quasi-experimental study with two groups, pretest post-test design, 140 nurses were randomly selected and by blocking random allocation method divided equally into two groups of web-based and face-to-face. In face-to-face group, the intervention consisted of one day program about Bird Flu delivered by lecture. The other group received web-based education. In both groups, samples' knowledge about bird flue was measured by a questionnaire before and after intervention. Pre -post test scores were compared within and between groups by Independent and paired T-test. Results: Based on the findings, both web-based and face-to-face teaching methods were effective on promotion of nurses' knowledge (P<0.001), and had the same effect (p=0.221). Conclusion: Web-based teaching seems to be as effective as traditional teaching in continuing education of nurses. With regard to numerous advantages of web-based method, it is recommended to be used in future programs. [ABSTRACT FROM AUTHOR]