Two Elderly Patients with Disseminated Tuberculosis

Two Elderly Patients with Disseminated Tuberculosis

A rapid diagnosis of disseminated TB is desirable, as early initiation of treatment can reduce fatality. The definitive diagnostic tests of DTB are variable owing to atypical presentations and diagnostic difficulties. Our diagnostic tests (radiological, laboratory, histopathological) contributed valuable information about TB to us. There are 4 figures of two patients in this report.

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  • 1. Wang JY, Hsueh PR, Wang SK, Jan IS, Lee LN, Liaw YS, et al. Disseminated tuberculosis: a 10-year experience in a medical center Medicine (Baltim.), 86 (1) (2007, Jan), pp. 39-46.
  • 2. Iseman MD. Extrapulmonary tuberculosis in adults, A clinician's guide to tuberculosis, 20001st ed. Philadelphia Lippincott Williams & Wilkins (pg. 145-97).
  • 3. Yoshikawa TT. Tuberculosis and aging: a global health problem. Clin Infect Dis. 2001; 33: 1034-9. 49.
  • 4. Sharma SK, Mohan A, Sharma A, Mitra DK. Miliary tuberculosis: new insights into an old disease Lancet Infect. Dis., 5 (7) (2005 Jul), pp. 415-430.
  • 5. Barman B, Tiewsoh I, Lynrah KG, Wankhar B, Beyong T, Issar NK. Miliary tuberculosis with pulmonary and extrapulmonary component complicated with acute respiratory distress syndrome J. Fam. Med. Prim. Care, 6 (3) (2017), pp. 688-690.
  • 6. Ali Chaudhry L, Al-Solaiman S. Multifocal tuberculosis: many faces of an old menace Int. J. Mycobacteriol., 2 (1) (2013 Mar 1), pp 58-69.
  • 7. Kundakçı N, Taşpınar A. Lepra ve diğer mikobakteriyel deri enfeksiyonları: Deri tüberkülozları. Topçu AW, Söyletir G, Doğanay M(editörler). İnfeksiyon hastalıkları. Nobel Tıp Kitabevleri,1996:803-17.
  • 8. Haas DW. Mycobacterial diseases: Mycobacterium tuberculosis. In: Mandell GL, Bennett JE, Dolin R(eds). Principles and Practice of İnfectious Diseases. 5th ed. Pennsylvania: Churchill Livingstone, 2000: 2576-607. 9. Gurkan F, Bosnak M, Dikici B, Bosnak V, Yaramis A, Tas MA, Haspolat K. Miliary tuberculosis in children: a clinical review. Scand J Infect Dis. 1998; 30(4): 359-62.
  • 10. Long R, O'Connor R, Palayew M, Hershfield E, Manfreda J. Disseminated tuberculosis with and without a miliary pattern on chest radiograph: a clinical-pathologic-radiologic correlation. Int J Tuberc Lung Dis. 1997 Feb;1(1):52-8.
  • 11. Lewinsohn DM, Leonard MK, LoBue PA, Cohn DL, Daley CL, Desmond E, et al. Official American thoracic society/infectious diseases society of America/centers for disease control and prevention clinical practice guidelines: diagnosis of tuberculosis in adults and children Clin. Infect. Dis. Off. Publ. Infect. Dis. Soc. Am., 63 (7) (2016 Oct 1), pp. e147-e195.
  • 12. Weintrub M, Siegman-Ingra Y, Josipov J, Rahmani R, Liron M: Histocytic hemaphagocytosis in miliary tuberculosis. Arc İntern Med 144:2055(1984).
  • 13. Glasser RM, Walker RI, Herion JC, C hapel Hill NC: The significance of hematologic abnormallities in patients with tuberculosis. Arc İntern Med 125:691(1970).
  • 14. Nahid P, Dorman SE, Alipanah N, Barry PM, Brozek JL, Cattamanchi A, et al. Official American thoracic society/centers for disease control and prevention/infectious diseases society of America clinical practice guidelines: treatment of drug-susceptible tuberculosis Clin. Infect. Dis. Off. Publ. Infect. Dis. Soc. Am., 63 (7) (2016 Oct 1), pp. e147-e195. Epub 2016 Aug 10.
  • 15. Perez-Guzman C, Vargas MH, Torres-Cruz, Villarreal Velarde H. Does aging modify pulmonary tuberculosis? A meta-analytical review, Chest, 1999, vol. 116(pg. 961-7).
  • 16. . Leung KK, Tang LY, Chie WC, Lue BH, Lee LT. Mortality trends of elderly people in Taiwan from 1974 to 1994, Age Ageing, 1999, vol. 28(pg. 199-203).