Rare Presentation of Mycobacterium tuberculosis Mimicking Prostate Cancer.

Autor: Nahidi SM; Department of Internal Medicine, St George's University, Grenada., Singh H; Department of Internal Medicine, Medical University of the Americas, Charlestown, Nevis., Tickoo S; Department of Internal Medicine, St George's University, Grenada., Duka L; Department of Internal Medicine, Wyckoff Heights Medical Center, Brooklyn, New York, USA., Won J; Department of Internal Medicine, Wyckoff Heights Medical Center, Brooklyn, New York, USA., Gulas J; Department of Internal Medicine, Wyckoff Heights Medical Center, Brooklyn, New York, USA.
Jazyk: angličtina
Zdroj: Journal of medical cases [J Med Cases] 2022 Feb; Vol. 13 (2), pp. 66-70. Date of Electronic Publication: 2022 Feb 16.
DOI: 10.14740/jmc3855
Abstrakt: Mycobacterium tuberculosis is primarily known to affect the lungs with cavitary lesions and enlarged lymph nodes as the first telltale sign. However, if the bacteria spread to extrapulmonary areas such as the bones, and lack lymphadenopathy, then the differential diagnosis may become misleading. We present a case of a 68-year-old male patient with a chief complaint of chronic left hip pain upon which computer tomography identified lytic lesions on the left hip. Given the mildly elevated prostate-specific antigen with a family history of prostate cancer, a bone biopsy was warranted. The biopsy revealed non-caseating granulomas and the DNA probe identified the Mycobacterium tuberculosis complex. This case signifies that atypical presentations of Mycobacterium tuberculosis may mimic other diagnoses and more invasive techniques such as a biopsy may be necessary.
Competing Interests: None to declare.
(Copyright 2022, Nahidi et al.)
Databáze: MEDLINE