title: Coexistence of acute miliary pulmonary tuberculosis and metastatic lung adenocarcinoma: a case report.
abstract: A 36-year-old man complained of cough, expectoration and progressive anhelation for more than 3 months. Thoracic computed tomography (CT) showed miliary nodules diffusely distributed throughout both lungs. Acute miliary pulmonary tuberculosis (AMPT) was confirmed by sputum culture; meanwhile lung adenocarcinoma was found by sputum cytology. Subsequently, adenocarcinoma of colon was diagnosed according to PET/CT images and histopathology. Herein we report this case of coexistence of AMPT and metastatic lung adenocarcinoma, and suggest that diagnosis of pulmonary tuberculosis should be made cautiously for patients with diffusely military nodules, especially for those without symptoms alleviated after anti-tuberculous treatment.
authors.affiliation: Department of Abdomen Oncology, Cancer Center, West China Hospital, Sichuan University, Chengdu 610041, China;
authors.forename: Yan
authors.initials: Y
authors.lastname: Wang
authors.forename: Lingli
authors.initials: L
authors.lastname: Tu
authors.forename: Zhiping
authors.initials: Z
authors.lastname: Li
authors.forename: Xin
authors.initials: X
authors.lastname: Wang
authors.forename: Yong
authors.initials: Y
authors.lastname: Luo
authors.forename: Chuying
authors.initials: C
authors.lastname: Huang
authors.forename: Lan
authors.initials: L
authors.lastname: Sun
keywords: Acute miliary pulmonary tuberculosis (AMPT); coexistence; diagnosis; lung adenocarcinoma