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KMID : 0616620100160020237
Journal of Soonchunhyang Medical College
2010 Volume.16 No. 2 p.237 ~ p.240
One Case Diagnosed as Miliary Tuberculosis in Patient with Initially Suspected Leptospirosis
Seo Mi-Seon

Lee Sang-Heon
Jeon Won-Seon
Lee Ji-Eun
Chung Hye-Kyoung
Mo Sang-Il
Lim Gune-Il
Hwang Hun-Gyu
Im Han-Hyeok
Abstract
Miliary tuberculosis is a severe form of tuberculosis resulting from lymphohematogeneous dissemination of Mycobacterium tuberculosis bacilli. Clinical manifestations are nonspecific and chest radiographic findings may look normal until late in the course of the disease. When diagnosis is delayed, clinical course can be fatal. Based on the laboratory finding, leptospirosis was considered as the cause of fever, which delayed further efforts to find out other causes. Pyrexia which did not subside for 14 days despite proper antibiotic treatment of leptospirosis prompted further studies, resulting in diagnosis of miliary and disseminated abdominal tuberculosis. So we report this case.
KEYWORD
Miliary tuberculosis, Origin-unknown Fever, Leptospirosis
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