Miliary tuberculosis

Case contributed by Dr Henry Knipe

Presentation

Cough and fever.

Patient Data

Age: 35 years
Gender: Female
X-ray

Innumerable tiny nodules throughout both lungs. Left apical opacity with cavity. Heart size is within normal limits.

CT

Miliary opacities are present throughout both lungs. Focal consolidation in the left lower lobe. Multiple pulmonary nodules in the both lungs. Two left upper lobe cavities. Incidental azygos fissure. Mediastinal lymphadenopathy.

NUCLEIC ACID TESTING (ON SPUTUM SPECIMEN) M. tuberculosis Complex PCR: DETECTED

Case Discussion

As would be expected, the patient tested positive for Mycobacterium tuberculosis, and was started on appropriate treatment. 

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Case information

rID: 43133
Case created: 25th Feb 2016
Last edited: 30th Jun 2017
System: Chest
Inclusion in quiz mode: Included

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