Disseminated TB in an Immunocompetent Patient: A Case Report

Author(s):  
Malihe Hassan Nezhad ◽  
Alireza Ganadan ◽  
Seyed Ahmad Seyed Alinaghi ◽  
Fatemeh Nili Ahmad Abadi ◽  
Seyed Ali Dehghan Manshadi ◽  
...  

: Tuberculosis considered as a chronic infectious disease caused by Mycobacterium tuberculosis, may invade all organs but mainly affects the lungs [1].In overall, disseminated TB is rare in immunocompetent patients and its association with seborrheic keratosis has never been reported. We reported a54-year-old man with a complaint prolonged fever, abdominal pain, weight loss and lymphadenopathy without any immunosuppression who was eventually treated based on the diagnosis of diffuse tuberculosis.

2008 ◽  
Vol 126 (4) ◽  
pp. 227-228 ◽  
Author(s):  
Daniel Sáenz-Abad ◽  
Santiago Letona-Carbajo ◽  
José Luis de Benito-Arévalo ◽  
Isabel Sanioaquín-Conde ◽  
Francisco José Ruiz-Ruiz

CONTEXT: Tuberculosis of the prostate has mainly been described in immunocompromised patients. However, it can exceptionally be found as an isolated lesion in immunocompetent patients. CASE REPORT: We report a case of prostatic tuberculosis in a young, healthy and immunocompetent patient with unremarkable findings from intravenous urographic examination. Computed tomography showed an abscess in the prostate and Mycobacterium tuberculosis was isolated in a urine culture. Treatment with isoniazid, rifampin and pyrazinamide was successful.


Author(s):  
Kusum V Shah ◽  
Saket Kumar ◽  
Yash Rana ◽  
Arti D Shah

Pulmonary nocardiosis is a rare bacterial infection that may lead to severe disease in immunodeficient patients and usually not so common in immunocompetent patients. The report is about a 57-year-old male with Norcardiosis. His sputum and Bronchial Alveolar Lavage (BAL) were negative for acid-fast bacilli. Nocardia species was isolated in BAL culture. He was started on Trimethoprim/Sulfamethoxazole and Clarithromycin, which was later continued for six months.


2011 ◽  
Vol 12 (1) ◽  
pp. 81-85
Author(s):  
Mohammad Robed Amin ◽  
Farzana Shumi ◽  
Hasibuddin Khan ◽  
Syed Ahmed Abdullah ◽  
Shafiul Alam ◽  
...  

An elderly patient presented with prolonged fever, gross weight loss, recurrent haemoptysis and abdominal pain. He had a background history of adrenal tuberculosis with completion of treatment without any obvious improvement. Clinically he was diagnosed as a case of adrenocotical insufficiency. Evaluation including histopathology revealed the diagnosis as disseminated histoplasmosis involving adrenal gland and lungs. The disease is a rarity without any underneath immunosuppression and hence high index of suspicion with appropriate steps for investigation is the key to achieve a diagnosis of disseminated histoplasmosis in Bangladesh. Keyword: . DOI: 10.3329/jom.v12i1.6936J Medicine 2011; 12 : 81-85


Author(s):  
Abdulmalek Alsharidah ◽  
Yahya Mahli ◽  
Nayef Alshabyli ◽  
Mohammed Alsuhaibani

Basidiobolomycosis is an uncommon emerging fungal infection caused by Basidiobolus ranarum. It frequently causes cutaneous infection, but it rarely infects visceral tissues in humans. Here, a 39-year-old previously healthy woman presented with severe left-sided abdominal pain and weight loss. She had visited several hospitals and had provisionally been diagnosed as having either a retroperitoneal malignancy or retroperitoneal fibrosis before being referred to our hospital. Abdominal computerized tomography and biopsy of the retroperitoneal mass revealed retroperitoneal basidiobolomycosis infection. She was started on antifungal treatment. This led to significant improvement, without surgical intervention. Gastrointestinal basidiobolomycosis can present in many forms, commonly involving the colon and liver with multifocal inflammatory masses. Nonetheless, retroperitoneal basidiobolomycosis presentation is extremely rare and should be considered in the differential diagnosis of a retroperitoneal mass with eosinophilia.


2017 ◽  
Vol 2017 ◽  
pp. 1-3
Author(s):  
Savaş Bayrak ◽  
Hasan Bektaş ◽  
Necdet Derici ◽  
Ekrem Çakar ◽  
Şükrü Çolak

Intussusception, which is seen rarely in adults, is defined as the pulling or invagination of a part of the intestine into another segment of the intestine. In this case report we present chronic retrograde jejunojejunal intussusception following gastric surgery with Braun’s anastomosis in adult with video presentation. A 66-year-old woman, who had undergone gastric surgery 39 years ago and cholecystectomy 20 years ago, was admitted to our clinic with the complaints about weight loss, abdominal pain, nausea, and vomiting. Upper gastrointestinal endoscopy (UGISE) was applied, and patient was treated with surgery. This case report indicates that intussusception should be considered in the presence of clinical complaints following gastric surgery, as well as importance of endoscopy in diagnosis.


2021 ◽  
pp. 515
Author(s):  
Ernawati Ernawati ◽  
Andreas Adiwinata Then ◽  
Irwan Surya Angkasa ◽  
Kevina Liora ◽  
Yuli Nursela

Background: Tuberculosis (TB) is an infectious disease caused by TB bacteria (Mycobacterium Tuberculosis), where most of the TB bacteria attack the lungs, but can also affect other body organs. Based on data from WHO in 2020 in Southeast Asia, Tuberculosis sufferers are estimated to reach 4.3 million and around 632,000 people died from this disease. The estimated number of tuberculosis cases in Indonesia in 2020 is 845,000 cases with the number of deaths caused by this disease as many as 13,947 cases. In Tangerang district there were 6,089/100,000 new tuberculosis cases detected. The symptoms such as a persistent cough that lasts more than 3 weeks and usually brings up phlegm, which may be bloody, weight loss, night sweats, high temperature, tiredness and fatigue, loss of appetite, swellings in the neck.The purpose of this devotional activity is to increase the knowledge of tuberculosis and the way to prevent for the community in the working area of Legok Health Center.This method of devotion is done by collecting data through pre-tests before extension activities and workshops and then post test after activities. The data obtained is processed statistically. Counseling is an extension on tuberculosis prevention efforts and workshops on how to ethically cough and the use of good and correct masks to the community in the work area of Legok Health Center.Results data processing results from pre-test, post-test and education about TB prevention efforts obtained post-test values >70 in 95% of respondents with an average value of 85.5. The results of cough ethics workshops and the use of masks 100% participants can be accompanied by the distribution of masks.Conclusion after counseling and workshops there is an increase in knowledge and ability to perform cough ethics and the use of masks that are good and correct. This effort can be done continuously so that the goal of reducing the incidence of tuberculosis can be achieved.Latar belakang tuberkulosis (TB) merupakan penyakit menular yang disebabkan oleh kuman TB (Mycobacterium Tuberculosis), dimana sebagian besar kuman TB menyerang paru-paru, tetapi dapat juga mengenai organ tubuh lainnya. Berdasarkan data WHO tahun 2020 di Asia Tenggara penderita tuberkulosis diperkirakan mencapai 4,3 juta dan sekitar 632.000 orang meninggal diakibatkan penyakit ini. Estimasi kasus tuberkulosis di Indonesia pada tahun 2020 sebanyak 845.000 kasus dengan jumlah kematian yang diakibatkan oleh penyakit ini sebanyak 13.947 kasus. Pada kabupaten Tangerang terdapat 6.089/100.000 kasus tuberkulosis baru yang terdeteksi. Penyakit ini menimbulkan berbagai gejala seperti: Batuk >3 minggu terkadang bercampur darah, penurunan berat badan, berkeringat malam hari, demam dan mengigil, lemas, penurunan nafsu makan, pembengkakn di sekitar leher.Tujuan dari kegiatan pengabdian ini untuk meningkatkan penegtahuan tentang tuberkulosis dan cara-cara pencegahannya di wilayah kerja Puskesmas Legok.Metode pengabdian ini dilakukan dengan pengumpulan data melalui pre test saat sebelum kegiatan penyuluhan dan workshop kemudian post test setelah kegiatan. Data yang diperoleh diolah secara statistik. Penyuluhan yang dilakukan adalah penyuluhan tentang upaya pencegahan tuberkulosis dan workshop cara etikda batuk serta penggunaan masker yang baik dan benar kepada masyarakat di wilayah kerja Puskesmas Legok.Hasil pengolahan data dari pre-test, post-test dan edukasi mengenai upaya pencegahan TB diperoleh nilai post-test nilainya >70 pada 95% responden dengan nilai rerata 85,5. Hasil workshop etika batuk dan penggunaan masker 100% peserta dapat disertai dengan pembagian masker. Kesimpulan setelah dilakukan penyuluhan dan workshop terjadi peningkatan pengetahuan dan kemampuan melakukan etika batuk dan penggunaan masker yang baik dan benar. Upaya ini dapat dilakukan secara berkesinambungan agar tujuan menurunkan angka kejadian tuberkulosis dapat dicapai.


2019 ◽  
Vol 2019 ◽  
pp. 1-3 ◽  
Author(s):  
Pathik Desai ◽  
Prachi Mayenkar ◽  
Thomas F. Northrup ◽  
Vijaya Mallela

This is a case report regarding a patient who presented with 6 months of dysphagia and subsequent 40-pound weight loss. The patient underwent imaging, suggestive of pulmonary TB. Further workup of his dysphagia with esophagogastroduodenoscopy and bronchoscopy revealed two bronchoesophageal fistulas. Tuberculosis is an important differential diagnosis of prolonged dysphagia in immunocompetent patients.


PEDIATRICS ◽  
1976 ◽  
Vol 58 (2) ◽  
pp. 287-288
Author(s):  
George L. Auman ◽  
Leopold M. Waldenberg

Gonorrhea is the most frequently reported infectious disease in the United States. Salpingitis and periappendicitis secondary to vaginal gonorrhea are not unusual in the mature woman, but are rare in the prepubertal girl. We are reporting a case of vaginal gonorrhea, acute salpingitis, and periappendicitis in a 5-year-old girl. CASE REPORT An acutely ill 5-year-old girl with a two-week history of a thick, nonpruritic vaginal discharge and an 18-hour history of fever, vomiting, and severe abdominal pain was admitted for evaluation. There was a negative history of dysuria, constipation, diarrhea, introduction of vaginal foreign body, coitus, and molestation. Vital signs on admission were: temperature, 39.7 C orally; pulse, 120 beats per minute; respiration, 36 breaths per minute; and blood pressure 100/60.


2001 ◽  
Vol 43 (6) ◽  
pp. 343-346 ◽  
Author(s):  
Análida Elizabeth PINILLA ◽  
Myriam Consuelo LÓPEZ ◽  
Orlando RICAURTE ◽  
Blanca CASTILLO ◽  
Martha Isabel MURCIA ◽  
...  

A case is reported of a woman who lived in a rural area with a chronic illness that consisted of weight loss and abdominal pain in the epigastrium and upper right quadrant. The initial diagnosis was a mass in the liver, which was later, demonstrated, both by direct and histological examination, to be an abscess caused by Ascaris lumbricoides. Eggs of Ascaris lumbricoides and abundant Charcot-Leyden Crystals were found.


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