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Miliary Tuberculosis Mimicking Multiple Myeloma: A Rare Case

Year 2022, , 74 - 77, 15.06.2022
https://doi.org/10.5799/jmid.1130152

Abstract

Miliary tuberculosis or disseminated tuberculosis is one of India's most typical forms of tuberculosis. It can have varied presentations, from classical pulmonary disease to affection of extra-pulmonary sites, the most common being the vertebral column. With a wide array of clinical manifestations, differentiating disseminated tuberculosis from common malignancies is no less than a herculean task for a clinician. Keeping a high index of clinical suspicion and detailed work up in the right direction can save the clinician and the patient from an exhaustive ordeal of futile investigations. Here, we present a rare case of miliary tuberculosis masquerading as a common malignancy of the elderly, re-emphasizing the need for a systematic approach to such confusing presentations.

References

  • 1. Chakaya J, Khan M, Ntoumi F, Aklillu E, Fatima R, Mwaba P, et al. Global Tuberculosis Report 2020-Reflections on the Global TB burden, treatment and prevention efforts. Int J Infect Dis 2021; 113:S7–12.
  • 2. Sharma SK, Mohan A, Sharma A, Mitra DK. Miliary tuberculosis: new insights into an old disease Lancet Infect Dis 2005; 5(7):415-430.
  • 3. Stenius-Aarniala B, Tukiainen P. Miliary tuberculosis. Acta Med Scand 1979; 206(5):417–422.
  • 4. Mert A, Bilir M, Tabak F, et al. Miliary tuberculosis: Clinical manifestations, diagnosis and outcome in 38 adults. Respirol Carlton Vic 2001; 6:217–224.
  • 5. Vasankari T, Liippo K, Tala E. Overt and cryptic miliary tuberculosis misdiagnosed until autopsy. Scand J Infect Dis 2003; 35(11–12):794–796.
  • 6. Bourbonnais JM, Sirithanakul K, Guzman JA. Fulminant miliary tuberculosis with adult respiratory distress syndrome undiagnosed until autopsy: a report of 2 cases and review of the literature. J Intensive Care Med 2005; 20(6):354–349.
  • 7. Yu YL, Chow WH, Humphries MJ, Wong RW, Gabriel M. Cryptic miliary tuberculosis. Q J Med 1986; 59(228):421–428.
  • 8. Proudfoot AT, Akhtar AJ, Douglas AC, Horne NW. Miliary tuberculosis in adults. Br Med J. 1969; 2(5652):273–276.
  • 9. D'odemont JP, Montiel V, Philippart I. About an unusual systemic disorder: report of a cryptic miliary tuberculosis Acta Clin Belg; 2005;60(1):36-40.
  • 10. Hadjiangelis NP, Addrizzo-Harris DJ. Cryptic miliary tuberculosis with a clinical prodrome resembling pancreatitis. Respir Med Extra. 2006 Jan 1;2(3):95–97.
Year 2022, , 74 - 77, 15.06.2022
https://doi.org/10.5799/jmid.1130152

Abstract

References

  • 1. Chakaya J, Khan M, Ntoumi F, Aklillu E, Fatima R, Mwaba P, et al. Global Tuberculosis Report 2020-Reflections on the Global TB burden, treatment and prevention efforts. Int J Infect Dis 2021; 113:S7–12.
  • 2. Sharma SK, Mohan A, Sharma A, Mitra DK. Miliary tuberculosis: new insights into an old disease Lancet Infect Dis 2005; 5(7):415-430.
  • 3. Stenius-Aarniala B, Tukiainen P. Miliary tuberculosis. Acta Med Scand 1979; 206(5):417–422.
  • 4. Mert A, Bilir M, Tabak F, et al. Miliary tuberculosis: Clinical manifestations, diagnosis and outcome in 38 adults. Respirol Carlton Vic 2001; 6:217–224.
  • 5. Vasankari T, Liippo K, Tala E. Overt and cryptic miliary tuberculosis misdiagnosed until autopsy. Scand J Infect Dis 2003; 35(11–12):794–796.
  • 6. Bourbonnais JM, Sirithanakul K, Guzman JA. Fulminant miliary tuberculosis with adult respiratory distress syndrome undiagnosed until autopsy: a report of 2 cases and review of the literature. J Intensive Care Med 2005; 20(6):354–349.
  • 7. Yu YL, Chow WH, Humphries MJ, Wong RW, Gabriel M. Cryptic miliary tuberculosis. Q J Med 1986; 59(228):421–428.
  • 8. Proudfoot AT, Akhtar AJ, Douglas AC, Horne NW. Miliary tuberculosis in adults. Br Med J. 1969; 2(5652):273–276.
  • 9. D'odemont JP, Montiel V, Philippart I. About an unusual systemic disorder: report of a cryptic miliary tuberculosis Acta Clin Belg; 2005;60(1):36-40.
  • 10. Hadjiangelis NP, Addrizzo-Harris DJ. Cryptic miliary tuberculosis with a clinical prodrome resembling pancreatitis. Respir Med Extra. 2006 Jan 1;2(3):95–97.
There are 10 citations in total.

Details

Primary Language English
Subjects Health Care Administration
Journal Section Case Report
Authors

Jaspreet Kaur This is me

Tagru Raju This is me

Yuvraj Singh Cheema This is me

Jasmine Singh This is me

Publication Date June 15, 2022
Published in Issue Year 2022

Cite

APA Kaur, J., Raju, T., Cheema, Y. S., Singh, J. (2022). Miliary Tuberculosis Mimicking Multiple Myeloma: A Rare Case. Journal of Microbiology and Infectious Diseases, 12(02), 74-77. https://doi.org/10.5799/jmid.1130152
AMA Kaur J, Raju T, Cheema YS, Singh J. Miliary Tuberculosis Mimicking Multiple Myeloma: A Rare Case. J Microbil Infect Dis. June 2022;12(02):74-77. doi:10.5799/jmid.1130152
Chicago Kaur, Jaspreet, Tagru Raju, Yuvraj Singh Cheema, and Jasmine Singh. “Miliary Tuberculosis Mimicking Multiple Myeloma: A Rare Case”. Journal of Microbiology and Infectious Diseases 12, no. 02 (June 2022): 74-77. https://doi.org/10.5799/jmid.1130152.
EndNote Kaur J, Raju T, Cheema YS, Singh J (June 1, 2022) Miliary Tuberculosis Mimicking Multiple Myeloma: A Rare Case. Journal of Microbiology and Infectious Diseases 12 02 74–77.
IEEE J. Kaur, T. Raju, Y. S. Cheema, and J. Singh, “Miliary Tuberculosis Mimicking Multiple Myeloma: A Rare Case”, J Microbil Infect Dis, vol. 12, no. 02, pp. 74–77, 2022, doi: 10.5799/jmid.1130152.
ISNAD Kaur, Jaspreet et al. “Miliary Tuberculosis Mimicking Multiple Myeloma: A Rare Case”. Journal of Microbiology and Infectious Diseases 12/02 (June 2022), 74-77. https://doi.org/10.5799/jmid.1130152.
JAMA Kaur J, Raju T, Cheema YS, Singh J. Miliary Tuberculosis Mimicking Multiple Myeloma: A Rare Case. J Microbil Infect Dis. 2022;12:74–77.
MLA Kaur, Jaspreet et al. “Miliary Tuberculosis Mimicking Multiple Myeloma: A Rare Case”. Journal of Microbiology and Infectious Diseases, vol. 12, no. 02, 2022, pp. 74-77, doi:10.5799/jmid.1130152.
Vancouver Kaur J, Raju T, Cheema YS, Singh J. Miliary Tuberculosis Mimicking Multiple Myeloma: A Rare Case. J Microbil Infect Dis. 2022;12(02):74-7.