Volume : VI, Issue : III, March - 2016

DISSEMINATED TUBERCULOSIS IN A YOUNG IMMUNOCOMPETENT MALE A CASE REPORT

Dr. Tamanna Deepak, Dr. Ramakrishnan S R, Dr. Swathy Moorthy

Abstract :

 CASE REPORT: A 30 year old male patient presented with fever and eathlessness associated with loss of weight and appetite for 5 months. Physical examination revealed bilateral crepitations and wheeze over all areas of the chest. Laboratory investigations showed thrombocytopenia with elevated liver enzymes. CT–thorax showed miliary mottling. CT–abdomen showed enlarged lymph nodes and liver involvement. Bone marrow biopsy revealed granulomatous inflammation suggestive of TB. Viral markers were negative. Patient during the course in the hospital had worsening lungs monitored by ABG and patient had ARDS complicated with pneumothorax and hence diagnosed as disseminated military–TB involving the lung, liver and bone marrow. Miliary–TB is a lethal form of tuberculosis usually affecting immunocompromised individuals however 1–2% can occur in immunocompetant individuals as in this case. Early diagnosis by clinical suspicion and initiation of early anti tuberculosis treatment is essential for improved outcome and reduced mortality.

Keywords :

Article: Download PDF   DOI : 10.36106/ijar  

Cite This Article:

Dr. Tamanna Deepak, Dr. Ramakrishnan S R, Dr. Swathy Moorthy DISSEMINATED TUBERCULOSIS IN A YOUNG IMMUNOCOMPETENT MALE A CASE REPORT Indian Journal of Applied Research, Vol.6, Issue : 3 March 2016

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