Multisystem tuberculosis
Updates to Case Attributes
The set of radiological findings were highly suspicious of tuberculosis, so samples were taken and antituberculous treatment was started. Two days later the diagnosis was confirmed with a possitivepositive nucleic acid amplification (NAA) tests for tuberculosis from a sample of bronchial alveolar lavage secretion.
Tuberculosis in CNS was negative.
HIV serology was negative.
-<p>The set of radiological findings were highly suspicious of tuberculosis, so samples were taken and antituberculous treatment was started. Two days later the diagnosis was confirmed with a possitive nucleic acid amplification (NAA) tests for tuberculosis from a sample of bronchial alveolar lavage secretion.</p><p>Tuberculosis in CNS was negative. </p><p>HIV serology was negative.</p><p> </p><p> </p>- +<p>The set of radiological findings were highly suspicious of tuberculosis, so samples were taken and antituberculous treatment was started. Two days later the diagnosis was confirmed with positive nucleic acid amplification (NAA) tests for tuberculosis from a sample of bronchial alveolar lavage secretion.</p><p>HIV serology was negative.</p>
Updates to Study Attributes
Posteroanterior (PA) chest radiograph shows hiliarhilar thickening consistent with lymphadenopathy. Innumerable bilateral upper field predominant micronodules, compatible with thea miliary pattern.
Updates to Study Attributes
The contrast-enhanced CT shows multiple ring-enhancing supra and infratentorial lesions associated with peripheral vasogenic edema. The most extensive infratentorial lesion is located in the cerebellar vermis and causescompresses the IVfourth ventricle's collapse with consequent supratentorial hydrocephalus.
Updates to Study Attributes
Chest window coronal CT shows numerous bilateral micronodules in random distribution and with upper lobe predominance.
The soft tissue windowshows bilateral and perihilar mediastinal lymphadenopathy. RigthRight axillary lymphadenopathy with a necrotic centercentre.
Multiple hypodense nodular lesions affecting the liver and splenic parenchyma compatible with septic embolism.
Image 3 CT (C+ portal venous phase) ( update )
Updates to Study Attributes
Mútiple hypodense nodular lesions affecting the liver and splenic parenchyma compatible with septic embolisms.
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Post-contrast T1W images show multiple supra and infratentorial ring-enhancing intraparenchymal lesions located in the cortico-subcortical junction.
FLAIR images show associated perilesional vasogenic edema.
there areThere is no restriction on diffusion weighted-weighted images thatswhich means there aren't abscessabscesses are unlikely.
The findings were in keeping with tuberculomas.
Updates to Study Attributes
Lumbar spine MRI shows a localized bone lesion in the vertebral body T10, with peripheral contrast uptake and irregular contrast suggestive of tuberculosis spondylitis.