Disseminated tuberculosis in an immunocompetent patient

• Autorzy: Sangeetha Ranganath , Benjamin Wilson , Aarthi Narasimhan , John Midturi
• Języki publikacji: EN

Abstrakty

EN

A 53-year-old immigrant male patient presented with left scrotal swelling with a draining ulcer on the left hemiscrotum. Patient had intentional weight loss, fever and night sweats, cough, headaches, confusion and difficulty with ambulation. Imaging studies revealed innumerable pulmonary nodules, leptomeningeal enhancement of the brain and bilateral epididymo-orchitis. Acid fast bacilli (AFB) smear was positive from the surgical specimen of bilateral epididymis and left testes. Cerebrospinal fluid (CSF) analysis revealed neutrophilic predominant pleocytosis with low glucose and elevated protein. Polymerase chain reaction (PCR) test performed on the CSF and AFB smear of epididymis was positive for Mycobacterium tuberculosis. Though the CSF and sputum AFB smears were negative, cultures subsequently grew mycobacterium tuberculosis. Patient was diagnosed with disseminated tuberculosis. Human deficiency virus test was negative. Patient was successfully treated with anti-tuberculosis therapy. Steroid was used as adjuvant therapy due to presence of tuberculous meningitis.

Słowa kluczowe

EN

Disseminated tuberculosis; Tuberculous meningitis; Urogenital tuberculosis

• Czasopismo: Open Medicine
• Rocznik: 2014
• Tom: 9
• Numer: 1
• Strony: 144-147

Daty

wydano

2014-02-01

online

2014-02-04

Twórcy

autor

Sangeetha Ranganath

• Division of Infectious Diseases, Scott and White Memorial Hospital, Temple, TX, 76508, USA,

autor

Benjamin Wilson

• Department of Internal Medicine, Scott and White Memorial Hospital, Temple, TX, 76508, USA

autor

Aarthi Narasimhan

• Division of Infectious Diseases, Scott and White Memorial Hospital, Temple, TX, 76508, USA

autor

John Midturi

• Division of Infectious Diseases, Scott and White Memorial Hospital, Temple, TX, 76508, USA

Bibliografia

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Identyfikatory

DOI

10.2478/s11536-013-0261-7