Cutaneous Miliary Tuberculosis in a Chronic Kidney Disease Patient
نویسندگان
چکیده
A 79-year-old Thai woman with advanced renal failure, dyslipidemia and anemia of chronic disease was admitted to hospital with prolonged fever, productive cough and multiple discrete small pustules on her face, trunk and extremities. A chest X-ray revealed diffuse miliary infiltration. Mycobacterium tuberculosis complex DNA was detected by polymerase chain reaction in sputum and scrapings of pustules from her skin. Blood culture identified M. tuberculosis complex. Pulmonary and cutaneous miliary tuberculosis was diagnosed. The patient's symptoms improved after 3 weeks of treatment with isoniazid, rifampicin, ethambutol and pyrazinamide. This report details a case of cutaneous miliary tuberculosis in a non-dialysis chronic kidney disease patient.
منابع مشابه
A Diffuse Fine Papular and Pustular Rash in a Man With Advanced Human Immunodeficiency Virus and Diabetes
Diagnosis: Disseminated tuberculosis with skin involvement. Bacterial blood and urine cultures were negative. The chest radiograph, which showed bilateral hilar lymphadenopathy and bilateral nodular pulmonary infiltrates, raised the suspicion of disseminated tuberculosis (Figure 1). The patient’s cough was unproductive and sputum could not be obtained for tuberculosis (TB) investigations. A ski...
متن کاملCutaneous miliary tuberculosis in a renal transplant patient: a case report and literature review.
The incidence of tuberculosis in renal transplant recipients is higher than in the general population. However, the incidence of cutaneous miliary tuberculosis in these patients is very rare. We report a 56-year-old renal transplant Thai man admitted to the hospital with prolong fever, dry cough and multiple small erythematous papules on his extremities. A chest X-ray revealed diffuse miliary i...
متن کاملConcomitant pulmonary tuberculosis and tuberculous appendicitis in a recipient of a renal transplant: a case report
INTRODUCTION Tuberculosis is still a serious infection among recipients of renal transplants. Although the ileocecal region is the most affected part in intestinal tuberculosis, acute tuberculous appendicitis is quite a rare entity. We report a case of concomitant pulmonary tuberculosis and tuberculous appendicitis in a recipient of a renal transplant. CASE PRESENTATION A 27-year-old Iranian ...
متن کاملAcute miliary tuberculosis in a five-month-old boy
Yau Ma Tei Dermatology Clinic, 12/F, Yau Ma Tei Specialist Clinic, 143 Battery Street, Kowloon, Hong Kong A five-month-old boy presented with fever and multiple cutaneous papular eruptions. Skin biopsy revealed disseminated cutaneous tuberculosis (tuberculosis cutis disseminata). Tissue culture revealed Mycobacteria bovis (BCG). He was later diagnosed to have severe combined immunodeficiency. T...
متن کاملMiliary pulmonary nodules due to Mycobacterium xenopi in a steroid-induced immunocompromised patient successfully treated with chemotherapy: a case report
BACKGROUND Mycobacterium xenopi-infected patients have a high prevalence of pulmonary cavities and nodules. However, the clinical course for patients with miliary nodules due to M. xenopi has not yet been reported. CASE PRESENTATION We encountered a case of miliary nodules with gradually worsening coughing and sputum production in a 44-year-old male who had renal dysfunction due to glomerulos...
متن کامل