KMID : 0616620100160020237
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Journal of Soonchunhyang Medical College 2010 Volume.16 No. 2 p.237 ~ p.240
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One Case Diagnosed as Miliary Tuberculosis in Patient with Initially Suspected Leptospirosis
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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
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Abstract
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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.
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KEYWORD
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Miliary tuberculosis, Origin-unknown Fever, Leptospirosis
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