BACKGROUND Disseminated mycobacterium avium complex (MAC) occurs mainly in immunocompromised hosts, which is associated with abnormal cellular immunity. CASE PRESENTATION A 26-year-old pregnant woman presented with fever and general weakness. Miliary lung nodules were noted on chest X-ray. Under the impression of miliary tuberculosis, anti-tuberculosis medication was administered. However, th...

BACKGROUND Tuberculosis (TB) remains a global health problem. According to the 2013 Global Report on Tuberculosis, 8.6 million people developed TB in 2012 and 1.3 million died from the disease. An estimated 13% of people who developed TB in 2012 were HIV-positive, and 75% of these lived in Africa. While pulmonary TB is the commonest form of Mycobacterium tuberculosis infection, extrapulmonary T...

Introduction: Disseminated tuberculosis is difficult to identify and probably underdiagnosed. Its prevalence in non-HIV patients is rising and a high index of suspicion must always be present, especially when other diseases are present, because there is usually considerable signs and symptoms overlap between them. Also, difficulties in obtaining adequate tissue specimens and body fluids is freq...

Ankylosing spondylitis is a chronic inflammatory disorder affecting mainly the axial skeleton. Here we report a case of a man with a clinical suspicion of ankylosing spondylitis but with a persistence of increased inflammatory markers. In this case, (18)F-FDG-PET/CT revealed multiple hypermetabolic lesions in axial skeleton, lymph nodes, and the lung, suggestive of either disseminated tuberculo...

Secondary haematological changes in tuberculosis may mimic many blood dyscrasias, including leukaemia. The appearance of primitive white cells in the peripheral blood is probably more common in disseminated than in pulmonary tuberculosis (Muller, 1943; O'Brien, 1954). The reaction may involve any cell type: myeloid reactions have been reported by Marzullo and deVeer (1931) and Custer and Crocke...

Madhyastha SP, et al. BMJ Case Rep 2017. doi:10.1136/bcr-2017-219276 Description A previously healthy 20-year-old woman presented to the emergency department with a history of one episode of generalised tonic– clonic seizure. No history of fever or constitutional symptoms. At admission, she was haemodynamically stable and Glasgow Coma Scale was 8, with no focal neurological deficits. For the wo...

Extrapulmonary involvement can occur in isolation or along with a pulmonary focus as in the case of patients with disseminated tuberculosis. Vulval TB is very rare and the presentation can be quite variable, and may be misdiagnosed as sexually transmitted disease. We herein report a young lady with disseminated TB presenting as Vulval TB.

Background: Bacillus Calmette-Guérin (BCG) vaccination is recommended for newborn infants worldwide to prevent tuberculosis. However, complications do occur inevitably in a very low rate, among which the most serious is disseminated disease. The disseminated bacillus Calmette–Guérin disease is a rare disease with high fatality, and can be seen among persons with an underlying immunodeficiency. ...