Disseminated tuberculosis diagnosed first as leptospirosis in immunocompetent patient

  • Erni J. Nelwan Division of Tropical and Infectious Disease, Department of Internal Medicine, Universitas Indonesia, Jakarta
  • Juferdy Kuniawan Division of Hepatobilier, Department of Interna Medicine, Universitas Indonesia, Jakarta
  • Mirna N. Praptini Department of Internal Medicine, Faculty of Medicine, Universitas Indonesia, Jakarta
  • Herdiman T. Pohan Division of Tropical and Infectious Disease, Department of Internal Medicine, University of Indonesia, Jakarta, Indonesia.
Keywords: acute onset, disseminated tuberculosis, immunocompetent
Abstract viewed: 1170 times
PDF downloaded: 945 times

Abstract

Disseminated tuberculosis, mostly seen in immunocompromised patient, can affect several organs. The diagnosis can be difficult due to various clinical manifestations. A case of disseminated tuberculosis of lung and liver that develops acutely is rare especially in immunocompetent patient. Here, we present a 42 year old immunocompetent woman with lung and hepatic tuberculosis which was confirmed by characteristics histopathological findings of the liver biopsy.

Downloads

Download data is not yet available.

Author Biographies

Erni J. Nelwan, Division of Tropical and Infectious Disease, Department of Internal Medicine, Universitas Indonesia, Jakarta
Staff, Division of Tropical and Infectious Disease, Department of Internal Medicine, University of Indonesia, Jakarta, Indonesia.
Mirna N. Praptini, Department of Internal Medicine, Faculty of Medicine, Universitas Indonesia, Jakarta
Department of Internal Medicine, University of Indonesia, Jakarta, Indonesia
Herdiman T. Pohan, Division of Tropical and Infectious Disease, Department of Internal Medicine, University of Indonesia, Jakarta, Indonesia.
Staff, Division of Tropical and Infectious Disease, Department of Internal Medicine, University of Indonesia, Jakarta, Indonesia.

References

  1. Firmansyah I, Jong JB, Noorwati, Nainggolan L. Liver tuberculosis as an etiology in fever of unknown origin. Acta Med Indones. 2005;37(2):91–3.

  2. Wu Z, Wang WL, Zhu Y, Cheng JW, Dong J, Li MX, et al. Diagnosis and treatment of hepatic tuberculosis: report of five cases and review of literature. Int J Clin Exp Med. 2013;6(9):845–50.

  3. Purl A, Nayyar AK, Vij JC. Hepatic tuberculosis. Ind J Tub. 1994;41:131–4.

  4. Tai W, Kuo C, Lee C, Chuah S, Huang C, Hu T, et al. Liver tuberculosis in Southern Taiwan: 15-years clinical experience. J Intern Med Taiwan. 2008;19:410–7.

  5. Andres SC, Tan-Alora A. A case series on disseminated tuberculosis. Phil J Microbiol Infect Dis. 2001;30(1):29–35.

  6. Alvarez S. Hepatobiliary tuberculosis. J Gastroenterol Hepatol. 1998;13(8):833–9. http://dx.doi.org/10.1111/j.1440-1746.1998.tb00743.x

  7. Hasibi M, Rasoulinejad M, Hosseini SM, Davari P, Sahebian A, Khashayar P. Epidemiological, clinical, laboratory findings, and outcomes of disseminated tuberculosis in Tehran, Iran. South Med J. 2008;101(9):910–3. http://dx.doi.org/10.1097/SMJ.0b013e318180bcfd

  8. Vanhoenacker FM, De Backer Al, Op de BB, Maes M, Van Altena R, Van Beckevoort D, et al. Imaging of gastrointestinal and abdominal tuberculosis. Eur Radiol. 2004;14(Suppl3):103–15. http://dx.doi.org/10.1007/s00330-003-2047-9

  9. Sharma PR, Jain S, Bamezai RN, Tiwari PK. Utility of serum LDH isoforms in the assessment of mycobacterium tuberculosis induced pathology in TB patients of Sahariya tribe. Indian J Clin Biochem. 2010;25(1):57–63. http://dx.doi.org/10.1007/s12291-010-0012-3

  10. Pandit V, Valsalan R, Seshadri S, Bahuleyan S. Disseminated tuberculosis presenting as mesenteric and cerebral abscess in HIV infection: case report. Braz J Infect Dis. 2009;13(5):383–6. http://dx.doi.org/10.1590/S1413-86702009000500014

  11. Essop AR, Posen JA, Hodkinson JH, Segal I. Tuberculous hepatitis: a clinical review of 96 cases. Q J Med. 1984;53(212):465–77. http://dx.doi.org/465-477

  12. Akhila JS, Prabbha A, Sartish R, John R, Shashidhar K, Ajee K. Candidaemia in disseminated TB. J Clin Diag Res. 2010;4:3465–7.

Published
2015-12-31
How to Cite
1.
Nelwan EJ, Kuniawan J, Praptini MN, Pohan HT. Disseminated tuberculosis diagnosed first as leptospirosis in immunocompetent patient. Med J Indones [Internet]. 2015Dec.31 [cited 2024Oct.5];24(4):252-6. Available from: https://mji.ui.ac.id/journal/index.php/mji/article/view/1266
Section
Case Report/Series