Disseminated tuberculosis in a non immun compromised patient with a complicated diagnosis.

Autor: Sahin H; Bülent Ecevit University School of Medicine, Department of Internal Medicine, Zonguldak, Turkey., Isık H; Bülent Ecevit University School of Medicine, Department of Gynecology and Obstetrics, Zonguldak, Turkey., Uygun Ilıkhan S; Bülent Ecevit University School of Medicine, Department of Internal Medicine, Zonguldak, Turkey., Tanrıverdi H; Bülent Ecevit University School of Medicine, Department of Chest Diseases, Zonguldak, Turkey., Bilici M; Bülent Ecevit University School of Medicine, Department of Internal Medicine, Zonguldak, Turkey.
Jazyk: angličtina
Zdroj: Respiratory medicine case reports [Respir Med Case Rep] 2014 Nov 20; Vol. 14, pp. 1-3. Date of Electronic Publication: 2014 Nov 20 (Print Publication: 2015).
DOI: 10.1016/j.rmcr.2014.11.001
Abstrakt: Tuberculosis (TB) has become a global emergency worldwide. The long time period between the exposure to TB bacillus and the onset of symptoms cause a delay in diagnosis. Herein, we report a case of 64-year-old female patient suffering from dyspepsia, anorexia, weight loss and abdominal pain for the last 8 months. Physical examination, ascites fluid evaluation, chest radiography, ultrasonographic and tomographic scans, histopathological analysis of the lymphadenopathy (LAP) and endometrial tissue revealed TB. A fourfold antituberculous treatment with isoniazid, pyrazinamide, rifampicin and ethambutol was prescribed for two months and for four months maintenance therapy with isoniazid and rifampicin was given. On the fourth month of the medical treatment the patient clinically recovered. Since the diagnosis of TB is difficult, high grade suspicion, combination of the radiologic, microbiologic and histopathological examinations are needed to achieve a diagnosis.
Databáze: MEDLINE