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Imaging of Pulmonary Miliary Tuberculosis With Multiple Intracranial Tuberculomas.
Cureus
September 2024
Radiodiagnosis, Datta Meghe Institute of Higher Education and Research, Wardha, IND.
Tuberculosis, caused by , is a widely spread disease complex affecting multiple organs. It is a type of communicable disease disproportionately affecting low and middle-income countries. The imaging modality of choice for pulmonary tuberculosis is computed tomography, and for brain lesions, it is a contrast-enhanced magnetic resonance imaging study.
View Article and Find Full Text PDFA rare case of Whipple disease presenting as a hydrosalpinx and granulomatous peritonitis.
J Infect Dev Ctries
August 2024
Department for Gastroenterology, Military Medical Academy, Belgrade, Serbia.
Article Synopsis
- Whipple disease, caused by the bacterium Tropheryma whipplei, is a rare infection that primarily impacts the gastrointestinal and musculoskeletal systems but can also affect the heart, brain, and lungs, making diagnosis difficult due to varied symptoms.
- A case study of a young woman revealed miliary lesions in the pelvis during laparoscopy, initially leading to a diagnosis of granulomatous salpingitis and peritonitis, but ultimately, Tropheryma whipplei was identified as the cause.
- Timely and appropriate antibiotic treatment is crucial for a positive outcome in Whipple disease, emphasizing the need for increased awareness among healthcare professionals.
Synchronized Brain and Pulmonary Lesions: A Diagnostic Challenge.
Cureus
August 2024
Internal Medicine, Saveetha Medical College and Hospital, Saveetha Institute of Medical and Technical Sciences, Saveetha University, Chennai, IND.
This case report details a 50-year-old female presenting with pulmonary and neurological symptoms initially diagnosed as disseminated tuberculosis, leading to treatment with antitubercular therapy. Despite initial improvements, daily bedside evaluations revealed a new cervical lymph node, which, upon further investigation, revealed features suggestive of malignancy. Further biopsy confirmed the diagnosis of adenocarcinoma of the lung with cerebral metastases.
View Article and Find Full Text PDFMiliary TB in children and adolescents: a scoping review.
Int J Tuberc Lung Dis
September 2024
Oxford Vaccine Group, Department of Paediatrics, University of Oxford, Oxford, UK.
Article Synopsis
- The paper reviews existing literature on miliary tuberculosis (TB) in children and adolescents, focusing on clinical symptoms, diagnosis, treatment, and outcomes.
- A total of 1,883 cases were analyzed, revealing notable statistics including a 30.6% mortality rate, with higher death rates in cases with central nervous system (CNS) involvement and in studies published before 1995.
- There is a lack of consensus on the best diagnostic practices for miliary TB in children, particularly regarding the routine use of lumbar puncture and brain imaging, highlighting the need for more research to fill these gaps.
Comprehensive Case Analysis of Tuberculous Meningitis in an Immunocompetent Patient: Diagnostic Challenges and Therapeutic Strategies.
Cureus
July 2024
Department of Radiology, Pandit Bhagwat Dayal Sharma University of Health Sciences, Rohtak, Rohtak, IND.
Article Synopsis
- * A 55-year-old male presented with severe symptoms, and tests confirmed he had tubercular meningitis (TBM), a dangerous form of TB with neurological effects.
- * Early diagnosis and treatment are crucial for TBM to prevent severe complications, highlighting the need for prompt healthcare response in regions where TB is prevalent.
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