Miliary tuberculosis – A challenging diagnosis

Authors

  • Catarina Pinto Silva Department of Pediatrics, Unidade Local de Saúde de Coimbra https://orcid.org/0000-0001-6728-4149
  • Beatriz de Sousa Department of Pediatrics, Centro Materno-Infantil do Norte, Unidade Local de Saúde de Santo António https://orcid.org/0000-0001-9681-6837
  • Joana Lima Department of Pediatrics, Unidade Local de Saúde do Alto Ave https://orcid.org/0000-0002-5232-0239
  • Sofia Vasconcelos Department of Pediatrics, Centro Materno-Infantil do Norte, Unidade Local de Saúde de Santo António
  • Alícia Rebelo Department of Pediatrics, Centro Materno-Infantil do Norte, Unidade Local de Saúde de Santo António https://orcid.org/0000-0002-5713-2333
  • Ana Luísa Lobo Department of Pediatrics, Centro Materno-Infantil do Norte, Unidade Local de Saúde de Santo António
  • Alexandre Fernandes Department of Pediatrics, Unidade Local de Saúde do Alto Ave https://orcid.org/0000-0002-0532-2178

DOI:

https://doi.org/10.25753/BirthGrowthMJ.v33.i3.27681

Keywords:

Bacillus Calmette-Guerin vaccine, disseminated tuberculosis, meningitis, miliary tuberculosis, tuberculosis

Abstract

Tuberculosis is a challenging diagnosis with marked clinical heterogeneity that can lead to diagnostic delay and serious and potentially life-threatening problems. The most prevalent form of the disease is pulmonary tuberculosis. The present case has unique features as in that it describes a case of miliary tuberculosis in an immunocompetent adolescent vaccinated with the Bacillus Calmette-Guerin vaccine and raises awareness of the occurrence of normal radiograph and early in the course of pulmonary tuberculosis, and normal head tomography even in the presence of tuberculous meningitis, highlighting the need for a high index of suspicion. It also shows that tuberculosis should be included in the differential diagnosis of fever of unknown origin with weight loss, even when no epidemiologic link has been established.

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References

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Published

2024-10-22

How to Cite

1.
Pinto Silva C, de Sousa B, Lima J, Vasconcelos S, Rebelo A, Lobo AL, Fernandes A. Miliary tuberculosis – A challenging diagnosis. REVNEC [Internet]. 2024Oct.22 [cited 2024Dec.8];33(3):186-90. Available from: https://revistas.rcaap.pt/nascercrescer/article/view/27681

Issue

Vol. 33 No. 3 (2024)

Section

Case Reports

License

Copyright (c) 2024 Catarina Pinto Silva, Beatriz de Sousa, Joana Lima, Sofia Vasconcelos, Alícia Rebelo, Ana Luísa Lobo, Alexandre Fernandes

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