Shergill Khushdeep, Shelly Divya, G Manoj, Kumar Ritu Ranjan
Maharashtra University of Health Sciences, Armed Forces Medical College, Department of Pathology. Pune, Maharashtra, India.
Autops Case Rep. 2017 Sep 30;7(3):7-12. doi: 10.4322/acr.2017.026. eCollection 2017 Jul-Sep.
Miliary tuberculosis is a lethal form of disseminated tuberculosis (TB), deriving its name from the millet-seed-sized granulomas in multiple organs. As TB still remains a leading cause of morbidity and mortality in India, its disseminated forms need to be diagnosed early to ensure more aggressive treatment at the earliest possible time. However, a considerable number of cases are missed ante-mortem. We discuss the case of a 32-year-old immunocompromised, non-HIV patient with an ante-mortem diagnosis of pulmonary TB. However, multiple organ involvement by was demonstrated on autopsy. This case highlights the role of autopsy as a research and learning tool, and prudential clinico-pathologic correlation, which will improve clinical outcomes in the future.
粟粒性肺结核是播散性肺结核的一种致命形式，因其在多个器官中出现粟粒大小的肉芽肿而得名。由于肺结核在印度仍然是发病和死亡的主要原因之一，其播散形式需要尽早诊断，以便尽早进行更积极的治疗。然而，相当多的病例在生前被漏诊。我们讨论了一名32岁免疫功能低下、非HIV患者的病例，该患者生前被诊断为肺结核。然而，尸检显示多个器官受累。该病例凸显了尸检作为一种研究和学习工具的作用，以及审慎的临床病理相关性，这将在未来改善临床结果。
