Janardan Abhishek, Ayoub Malek, Khan Husna, Jha Pinky, Carter Valerie
Internal Medicine, Medical College of Wisconsin, Milwaukee, USA.
Internal Medicine, Medical College of Wisconsin, Wauwatosa, USA.
Cureus. 2022 May 29;14(5):e25454. doi: 10.7759/cureus.25454. eCollection 2022 May.
Miliary tuberculosis (TB) represents a rare escalation of TB stemming from the hematogenous dissemination of Common extrapulmonary infection sites include the lymphatic system, musculoskeletal system, and central nervous system. The nonspecific motif of clinical symptoms involving joint pain, fever of unknown origin, and night sweats make the diagnosis of disseminated TB quite challenging. Long-term outcomes remain bleak. Untreated miliary TB is estimated to be fatal within one year. Here, we present a case of miliary TB in a 21-year-old male with a remote exposure history who was not immunocompromised.
粟粒性肺结核是由结核菌血行播散引起的一种罕见的严重肺结核。常见的肺外感染部位包括淋巴系统、肌肉骨骼系统和中枢神经系统。临床症状如关节疼痛、不明原因发热和盗汗等缺乏特异性，这使得播散性肺结核的诊断颇具挑战性。长期预后依然不容乐观。未经治疗的粟粒性肺结核估计在一年内会致命。在此，我们报告一例21岁男性粟粒性肺结核病例，该患者既往有接触史，但无免疫功能低下情况。
