[Disseminated tuberculosis in non-immunocompromised host: three case reports].
BACKGROUND
Disseminated tuberculosis, i.e., tuberculosis involving lung, liver, spleen, bone marrow and lymph nodes is rare (2.8%), particularly when immunocompromised diathesis is lacking.


METHODS
We report three cases of disseminated tuberculosis confirmed by bacteriology or histology, which occurred in non-immunocompromised patients. Disease evolution under antituberculous treatment was favorable in two cases and fatal in the third one.


CONCLUSIONS
Disseminated tuberculosis must be suspected when miliary pulmonary lesions are associated with hematologic abnormalities, even in non-immunocompromised host. Early treatment is mandatory to avoid fatal outcome.
Charfi
M R
MR
Service de médecine interne, hôpital des Forces de sécurité intérieure, La Marsa, Tunisie.
Dougui
M H
MH
Louzir
B
B
Mestiri
A
A
Zbiba
M
M
Belalgia
M S
MS
Daghfous
J
J
D000328:Adult; D000995:Antitubercular Agents / Q000627:therapeutic use; D004359:Drug Therapy, Combination; D006801:Humans; D007121:Immunocompetence; D008297:Male; D008875:Middle Aged; D014386:Tuberculosis, Hepatic / Q000209:etiology; D014388:Tuberculosis, Lymph Node / Q000209:etiology; D014391:Tuberculosis, Miliary / Q000150:complications / Q000175:diagnosis* / Q000188:drug therapy*; D014397:Tuberculosis, Pulmonary / Q000209:etiology; D014400:Tuberculosis, Splenic / Q000209:etiology
D000995:Antitubercular Agents