Miliary sarcoidosis following miliary tuberculosis.
A patient who presented with a miliary radiographic pattern due to tuberculosis and later with a similar miliary pattern due to sarcoidosis is described. The patient, a 47-year-old man, was admitted to the hospital due to coughing, weakness, weight loss and an abnormal chest radiograph with a miliary pattern. A gastric fluid culture was positive for Mycobacterium tuberculosis and he was treated appropriately. He showed complete clinical and radiological remission. One year later he presented with a dry cough and a similar miliary pattern on the chest roentgenogram. Lung biopsy taken by thoracoscopy revealed sarcoidosis. The patient had a complete remission with corticosteroids. To our knowledge, this is the first report describing a miliary pattern as presenting radiological sign in a patient with tuberculosis who subsequently developed a new miliary pattern due to sarcoidosis.
Hatzakis
K
K
Department of Pneumonology, Medical School, University of Crete, Heraklion, Greece. hatzak@cc.uch.gr
Siafakas
N M
NM
Bouros
D
D
D000305:Adrenal Cortex Hormones / Q000627:therapeutic use; D001706:Biopsy; D006801:Humans; D008297:Male; D008875:Middle Aged; D009169:Mycobacterium tuberculosis / Q000302:isolation & purification; D012074:Remission Induction; D017565:Sarcoidosis, Pulmonary / Q000175:diagnosis* / Q000188:drug therapy / Q000209:etiology*; D013906:Thoracoscopy; D014391:Tuberculosis, Miliary / Q000150:complications* / Q000175:diagnosis / Q000628:therapy
D000305:Adrenal Cortex Hormones