Disseminated tuberculosis in an immunocompetent patient

• Authors: Sangeetha Ranganath , Benjamin Wilson , Aarthi Narasimhan , John Midturi
• Languages of publication: EN

Abstracts

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.

Keywords

EN

Disseminated tuberculosis; Tuberculous meningitis; Urogenital tuberculosis

• Publisher: De Gruyter Open
• Journal: Open Medicine
• Year: 2014
• Volume: 9
• Issue: 1
• Pages: 144-147

Dates

published

1 - 2 - 2014

online

4 - 2 - 2014

Contributors

author

Sangeetha Ranganath

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

author

Benjamin Wilson

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

author

Aarthi Narasimhan

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

author

John Midturi

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

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Identifiers

DOI

10.2478/s11536-013-0261-7