Multisystem tuberculosis

Case contributed by Jaime Enrique Rincon Tous , 2 Feb 2021
Diagnosis certain
Changed by Yusra Sheikh, 1 Oct 2021

Updates to Case Attributes

Status changed from pending review to published (public).
Presentation was changed:
feverFever, headache, and progressive neurological impairment.
Published At was set to .

Systems changed:

  • Spine
  • Musculoskeletal

Updates to Study Attributes

Findings was changed:

Posteroanterior (PA) chest radiograph shows hilarThere is left hilum thickening consistent with lymphadenopathy. Innumerable bilateral upper field predominant micronodules, compatible with a miliary pattern.

Caption was changed:
PA CXR

Updates to Study Attributes

Findings was changed:

The contrast-enhanced CT showsThere are multiple ring-enhancing supra- and infratentorial lesions associated with peripheral vasogenic edema. The most extensive infratentorial lesion is located in the cerebellar vermis and compresses the fourth ventricle with consequent supratentorial hydrocephalus.

Caption was changed:
CT brainPre and contrast enhanced

Updates to Study Attributes

Findings was changed:

Lumbar spine MRI showsThere is a localized bone lesion in the vertebral body T10, with peripheral contrast uptake and irregular contrast suggestive of tuberculosis spondylitis.

Caption was changed:
MRILumbar spine

Updates to Study Attributes

Caption was changed:
Whole body CTCT TAP

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