title: An unusual presentation of miliary tuberculosis.
abstract: A young Bangladeshi woman presented to the emergency department with vaginal discharge on a history of fevers and rigours. Although initially treated for pelvic inflammatory disease, the patient rapidly developed respiratory failure with acute respiratory distress syndrome. An axillary biopsy and a high-resolution CT of the chest confirmed miliary tuberculosis (TB). She was initiated on anti-TB medication and made a rapid recovery.
authors.affiliation: Royal London Hospital, Barts Health NHS Trust, London, UK.
authors.forename: A
authors.initials: A
authors.lastname: Sundaralingam
authors.forename: J L
authors.initials: JL
authors.lastname: Potter
authors.forename: V L C
authors.initials: VL
authors.lastname: White
authors.forename: J
authors.initials: J
authors.lastname: Emmanuel
mesh_terms: D000328:Adult; D000995:Antitubercular Agents / Q000627:therapeutic use; D003937:Diagnosis, Differential; D004359:Drug Therapy, Combination; D053159:Dysuria / Q000209:etiology; D005260:Female; D005334:Fever / Q000209:etiology; D006801:Humans; D012128:Respiratory Distress Syndrome / Q000209:etiology*; D014391:Tuberculosis, Miliary / Q000150:complications* / Q000175:diagnosis* / Q000188:drug therapy; D019522:Vaginal Discharge / Q000209:etiology*
chemical_list: D000995:Antitubercular Agents
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