Two Sites - One Major Problem

Carina Rôlo Silvestre^1, , André Nunes¹, Ricardo Cordeiro¹, João Eusébio¹, Teresa Falcão¹ and António Domingos¹

¹Pulmonology Department, Centro Hospitalar do Oeste, Torres Vedras, Portugal

Cite this paper

Carina Rôlo Silvestre, André Nunes, Ricardo Cordeiro, João Eusébio, Teresa Falcão and António Domingos. Two Sites - One Major Problem. American Journal of Medical Case Reports. 2021; 9(1):15-17. doi: 10.12691/AJMCR-9-1-5

Abstract

The authors present the case of a 36-year-old woman with disseminated tuberculosis shown by pulmonary nodules and urogenital involvement. Positive cultures for Mycobacterium tuberculosis in urine and bronchial secretions made the diagnosis. After three months of multidrug treatment, there was a clinical and radiologic improvement. This case highlights an uncommon case of an immunocompetent patient with disseminated tuberculosis. A delay in the diagnosis of pulmonary tuberculosis can result in serious public health problems with disease spread.

Keywords

mycobacterium tuberculosis, disseminated tuberculosis, infectious diseases

Copyright

This work is licensed under a Creative Commons Attribution 4.0 International License. To view a copy of this license, visit http://creativecommons.org/licenses/by/4.0/

References

[1]	Furin J., Cox H. and Pai M, “Tuberculosis”, Lancet, 393. 1642-1656. 2019.
[2]	Muneer A., Macrae B., Krishnamoorthy S. and Zumla A, “Urogenital tuberculosis - epidemiology, pathogenesis and clinical features”, Nat Rev Urol. 16. 573-598. 2019.
[3]	Crump J.A. and Reller L.B, “Two Decades of Disseminated Tuberculosis at a University Medical Center: The Expanding Role of Mycobacterial Blood Culture”. Clin Infect Dis. 37. 1037-43. 2003.
[4]	Kulchavenya E, “Urogenital tuberculosis: Definition and classification”. Ther Adv Infect Dis. 2. 117-22. 2014.
[5]	Kapoor R., Ansari M.S., Mandhani A. and Gulia A, “Clinical presentation and diagnostic approach in cases of genitourinary tuberculosis”. Indian J. Urol. 24. 401-405. 2008.