Title: Patient with Pulmonary and Extra-Pulmonary Tuberculosis' Involvement – A Case Report

Authors: Leonidas Grigorakos, Sophia Simopoulou, Irene Tsovolou, Alexandros Tourtoglou, Giorgos Drivas, Anna Aiginitou, Vassilis Sgountzos

 DOI: https://dx.doi.org/10.18535/jmscr/v6i12.37

Abstract

This case report describes a case of one patient with pulmonary, abdominal and ocular tuberculosis. The patient was transferred to our Special Unit of Respiratory Infections (SURI) from the emergency department, where he was admitted with cough, diarrhea, abdominal pain and fever. The abdominal ultrasound performed revealed hepatosplenomegaly and ascitic collection. After being subjected to laboratory tests, he was diagnosed with pulmonary, abdominal and ocular tuberculosis. He was immediately initiated specific antituberculosis treatment and supportive measures. After 40 days he was transferred from our unit to the Tuberculosis Department of our hospital to continue his therapy with considerable melioration of his clinical condition.

Keywords: pulmonary tuberculosis, extra-pulmonary tuberculosis, retinal vasculitis, abdominal tuberculosis,  ocular tuberculosis

References

  1. Grigorakos L, Sgountzos V, Lazarescu D, Simopoulou S, Gkouni M, Markou N, Tamvakis V. Primary Thoracic Muscle Tuberculosis: Two Cases Reports, JMCR;2016;10:229.
  2. Grigorakos L, Sgountzos V, Simopoulou S, Lazarescu D, Mavropanou D, Georgiadou A, Tamvakis V. Psoas Muscle Tuberculosis in Greece: Report of Two Cases, Chest Disease Reports, 2017, 5:5777.
  3. Grigorakos L, Lazarescu D, Lintzeri D, Simopoulou S, Aiginitou A, Christakakou A, Sgountzos V. Extra pulmonary tuberculosis. An overview of five cases. Journal of Medical Science and Clinical Research, 2018, 6(4): 943-947.
  4. Fontanilla JM, Barnes A, von Reyn CF. Current diagnosis and management of peripheral tuberculous lymphadenitis. Clin Infect Dis 2011;53:555–562.
  5. Lee JY. Diagnosis and treatment of extrapulmonary tuberculosis. Tuberc Respir Dis (Seoul) 2015;78(2):47-55.
  6. Bouza E, Merino P, Munoz P. Ocular tuberculosis. A prospective study in a general hospital. Medicine 1997;76:53–61.
  7. Gupta V, Gupta A, Rao NA. Intraocular tuberculosis— an update. Survey of Ophthalmology 2007;52(6):561–587.
  8. Gupta A, Bansal R, Gupta V, Sharma A, Bambery P. Ocular signs predictive of tubercular uveitis. Am J Ophthalmol 2010;149:562-570.
  9. Chan HS, Pang J. Vasculitis in tuberculous infection. Chest 1990;98:511.
  10. Gupta A, Gupta V, Arora S, Dogra MR, Bambery P. PCR-positive tubercular retinal vasculitis: clinical characteristics and management. Retina 2001;21:435-444.
  11. Dalvin LA, Smith WM. Intraocular manifestations of mycobacterium tuberculosis: A review of the literature. Journal of Clinical Tuberculosis and Other Mycobacterial Diseases 2017;7:13-21.
  12. Yuksel, S. Ozdek. Unusual presentation of ocular tuberculosis: multiple chorioretinitis, retinal vasculitis and ischaemic central retinal vein occlusion. Clin Exp Optom, 2013;96 (4):428-429.
  13. Sahu GN, Mishra N, Bhutia RC, Mohanty AB: Manifestations in ocular tuberculosis. Ind J Tub 1998;45:153.
  14. Abu El-Asrar AM, Abbouammo M, Al-Mezaine H. Tuberculous uveitis. Middle East Afr J Ophthalmol 2009;16(4):188–201.
  15. Thompson MJ, Albert DM. Ocular tuberculosis. Arch Ophthalmol 2005;123:844-849.

Corresponding Author

Leonidas Grigorakos

2 Nikis St, 14561, Kifissia, Athens, Greece

Tel: +30.210.3709522, Fax: +30.210.3709520, Email: This email address is being protected from spambots. You need JavaScript enabled to view it.