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Case Report
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| Miliary tuberculosis in an immunocompetent male | ||||||
| Chidozie Charles Agu1, Patolia Setu2, Hiba Basheer1 | ||||||
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1MD, Resident (Internal Medicine), Department of Internal Medicine. Interfaith Medical Center, 1545 Atlantic Avenue, Brooklyn, New York.
2MD, Pulmonary Fellow, Department of Pulmonary Medicine, Interfaith Medical Center, 1545 Atlantic Avenue, Brooklyn, New York. | ||||||
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| How to cite this article |
| Agu CC, Setu P, Basheer H. Miliary tuberculosis in an immunocompetent male. International Journal of Case Reports and Images 2014;5(2):140–144. |
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Abstract
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Introduction:
Miliary tuberculosis (TB) is a disseminated form of tuberculosis which may involve the lungs and other organs. It is a rare but potentially lethal form of tuberculosis seen mostly in immunocompromised patients. It is, however, not commonly reported in immunocompetent hosts.
Case Report: We present a case of a 67-year-old African-American male who presented with persistent non-productive cough for three weeks, diarrhea, fatigue and weight loss. There was no history of active TB contacts, HIV infection, or other predisposing factor for immunosuppression. Physical examination was also unremarkable. Chest X-ray and computed tomography scan revealed bilateral extensive small nodular infiltrates with negative serial acid-fast sputum smears. Acid-fast bacilli were detected in sputum culture at four weeks and were identified by DNA probe as Mycobacterium tuberculosis. Conclusion: Miliary tuberculosis is a potentially lethal form of tuberculosis that mostly affects immunosuppressed patients, although in rare occasions can also affect immunocompetent adults. | |
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Keywords:
Miliary tuberculosis, Mycobacterium tuberculosis, HIV/AIDS.
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Author Contributions
Chidozie Charles Agu – Substantial contributions to conception and design, Acquisition of data, Analysis and interpretation of data, Drafting the article, Revising it critically for important intellectual content and final approval of the version to be published Patolia Setu – Substantial contributions to conception and design, Acquisition of data, Analysis and interpretation of data, Drafting the article, Revising it critically for important intellectual content and final approval of the version to be published Hiba Basheer – Substantial contributions to conception and design, acquisition of data, Analysis and interpretation of data, drafting the article, Revising it critically for important intellectual content and final approval of the version to be published |
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Guarantor of submission
The corresponding author is the guarantor of submission. |
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Source of support
None |
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Conflict of interest
Authors declare no conflict of interest. |
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Copyright
© Chidozie Charles Agu et al. 2014; This article is distributed the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any means provided the original authors and original publisher are properly credited. (Please see Copyright Policy for more information.) |
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