[Miliary tuberculosis associated with subcutaneous tuberculous abscess].
A 62-year-old woman was admitted because of a tumor on her right thigh, fever, generalized lymphadenopathy, and diffuse nodular shadows on chest X-ray films. She was given a diagnosis of miliary tuberculosis based on the findings of a cervical lymph-node biopsy and a broncho-alveolar lavage. Acute respiratory failure and disseminated intravascular coagulation developed, but resolved after the start of anti-tuberculous therapy. The tumor on the right thigh was diagnosed as a subcutaneous tuberculous abscess because tuberculous bacilli were detected in tumor tissue samples obtained by aspiration. The patient's fever disappeared and the abnormal shadows on her chest X-ray films receded significantly after drainage of the subcutaneous abscess. These findings suggested that miliary tuberculosis was associated with the subcutaneous tuberculous abscess in this case.
Kondo
H
H
Department of Internal Medicine, Okawa General Hospital, Kagawa, Japan.
Inoue
T
T
Horiuchi
N
N
Iwata
M
M
Taniguchi
K
K
D000038:Abscess / Q000150:complications*; D004211:Disseminated Intravascular Coagulation / Q000209:etiology; D005260:Female; D006801:Humans; D008875:Middle Aged; D012131:Respiratory Insufficiency / Q000209:etiology; D012871:Skin Diseases / Q000150:complications*; D013848:Thigh; D014382:Tuberculosis, Cutaneous / Q000150:complications*; D014391:Tuberculosis, Miliary / Q000209:etiology*