Diagnostic delay in a multi-organ tuberculosis immunocompetent patient: a case report.
A 67-year-old immunocompetent male presented with intermittent fever for 3 months associated with urinary incontinence, altered bowel habits and history of loss of appetite and weight. He was treated as having enteric fever at various clinics in the city by different physicians. On evaluation the patient was found to have disseminated tuberculosis with involvement of the lungs, eyes, testes, brain, bone, kidneys, liver, spleen and possibly the gastrointestinal tract. This paper reports a case of disseminated tuberculosis to many organs with significant diagnostic delay more than twelve decades after the discovery of the tuberculosis bacillus by Robert Koch.
Kishore
P V
PV
Department of Medicine, Manipal Teaching Hospital/Manipal College of Medical Sciences, Pokhara, Nepal. pandu_vki@yahoo.com
Palaian
Subish
S
Paudel
Raju
R
Prabhu
Mukhyaprana
M
Van Den Ende
Jef
J
D000368:Aged; D000995:Antitubercular Agents / Q000494:pharmacology / Q000627:therapeutic use; D006801:Humans; D007121:Immunocompetence; D008297:Male; D009390:Nepal; D014391:Tuberculosis, Miliary / Q000175:diagnosis* / Q000188:drug therapy / Q000503:physiopathology
D000995:Antitubercular Agents