The Onset of Miliary Tuberculosis Presenting after an Episode of Angina, Palpitations and Cardiac Stent Placement

Abstract

Once the tubercle bacilli are ingested by alveolar macrophages, they are either destroyed, inhibited, or they may multiply intracellularly. If the bacilli multiply, they may then spread to other organs and systems via lymphatic channels or the bloodstream [4,5]. Although TB is a common disease with a rising incidence even in the developed world, there is still much that is unknown about the less common form known as Miliary TB, including its varied presentation and its complex treatments. Miliary TB remains a diagnostic challenge, as it accounts for less than 2% of all confi rmed cases of TB and up to 20% of all extra-pulmonary TB (EPTB) cases in various clinical studies [6].