BackgroundMiliary tuberculosis occurs as a result of hematogenous dissemination of Mycobacerium tuberculosis. This can occur due to progressive primary infection, reactivation of latent focus with subsequent spread, or rarely via iatrogenic origin.Case presentationThis is a case of 21 year-old woman presented with hydronephrosis and hematuria due to unrecognized renal tuberculosis. She underwent bilateral ureteral stent placement which lead to dissemination of the Mycobateria through the blood causing pulmonary tuberculosis and multiple tuberculous abscesses in the paraspinous muscles, pleural space and skin.ConclusionDisseminated tuberculosis due to Mycobacteremia after surgical intervention is a rare complication. Mycobacteria should be considered among other more common microorganisms that can cause post operative bacteremia.

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