2013
DOI: 10.1155/2013/353798
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Unusual Manifestation of Extrapulmonary Tuberculosis

Abstract: Though commonly encountered, extrapulmonary tuberculosis (TB) can sometimes present with variable clinical picture intricating the diagnosis (Avasthi et al., 2010). The nonspecific symptoms include pyrexia of unknown origin, hepatosplenomegaly, lymphadenopathy, meningitis, and, rarely, variety of hematological abnormalities, namely, anemia, pancytopenia, and leukemoid reaction (Avasthi et al., 2010). When it presents with bone marrow (BM) involvement, prognosis is usually poor (Avasthi et al., 2010, Qasim et a… Show more

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Cited by 17 publications
(16 citation statements)
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“…Our case is different from other reported disseminated tuberculosis diagnosis [2][3][4][5][6] because we had to endure considerable difficulties on acquiring biological material for the final diagnosis. Heart failure first diagnosis and treatment decreased pleural and ascitic fluid, which together with coagulopathy made closed pleural biopsy a high risk procedure.…”
Section: Discussioncontrasting
confidence: 74%
“…Our case is different from other reported disseminated tuberculosis diagnosis [2][3][4][5][6] because we had to endure considerable difficulties on acquiring biological material for the final diagnosis. Heart failure first diagnosis and treatment decreased pleural and ascitic fluid, which together with coagulopathy made closed pleural biopsy a high risk procedure.…”
Section: Discussioncontrasting
confidence: 74%
“…A similar case has been reported by Alghamdi et al [20]. They have reported a case of fever for six months with dizziness, fatigability and cough.…”
Section: Discussionsupporting
confidence: 84%
“…A study of an extrapulmonary TB patient from Eritrea, East Africa, had abnormal hematologic examination, such as anemia, leukocytosis, leukopenia, thrombocytosis, thrombocytopenia, and pancytopenia. 11 Anemia, leukocytosis, thrombocytosis, and increased ESR describe the infection reaction of Mycobacterium tuberculosis and cause inflammation. In some cases of spinal TB, a marked increase in ESR is also followed by a normal leukocyte value.…”
Section: Descriptive Analysis Results Of Bones and Joints Tb Accordinmentioning
confidence: 99%