A Case with Multiple Localizations of Tuberculosis Infection

TURKISH RESPIRATORY JOURNAL 86 INTRODUCTION The incidence of tuberculosis (TB) disease in Turkey in 2000 was 27/100,000 [12]. Tuberculosis may involve not only lungs but also other tissue and organs by three mechanisms: infective sputum material forming lesions in airways and gastrointestinal system, dissemination of infection from a nearby focus and lympho-hematogenic dissemination [13]. Extrapulmonary manifestation of TB is increasing in incidence, and its diagnosis is often difficult. Abdominal TB may mimic a variety of gastrointestinal and genitourinary disorders such as ileocecal or ovarian mass, and intracranial tuberculoma may imitate both clinically and radiologically the more commonly observed intracranial tumors [1]. This case report outlines the extrapulmonary manifestation of TB concurrently imitating other disorders of the cranium, ovary, gastrointestinal system and mediastinum.