International Journal of Medical and Pharmaceutical Case Reports

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Rare Presentation of Disseminated Tuberculosis in the Present Era of Modern Tuberculosis Management

  • Alwin Anilkumar
  • S. Manikandan
  • V. Sreenivasan

International Journal of Medical and Pharmaceutical Case Reports, Page 88-94
DOI: 10.9734/ijmpcr/2022/v15i4318
Published: 8 December 2022

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Abstract


Background: Disseminated tuberculosis (TB) is defined as two or more noncontiguous sites resulting from lymphohematogenous dissemination of Mycobacterium tuberculosis. In an immunocompetent host, it is uncommon. The presentation varies, and non-specific early infection symptoms can be noted on chest radiography. Early medication beginning is linked to significantly better outcomes in cases of disseminated tuberculosis. The current case report describes the series of incidents that resulted from a 50-year-old man's excessive usage of the corticosteroid medication tablet Betamethasone, which he was taking for a cough and cold related to his chronic obstructive pulmonary disease (COPD).


Case Presentation: A 50-year-old Indian male patient with osteoporosis, drug-induced adrenal insufficiency, and bilateral pleural effusion who is receiving anti-tuberculosis therapy which he is on now is presented to the outpatient department of a tertiary hospital with complaints of fever associated with shivering on & off for 4 months, generalized tiredness. He had a history of loose stools for 2-3 days, small joint pain, left knee joint pain and swelling, loss of weight, and loss of appetite.


Conclusion: The right diagnosis, treatment, patient counseling, diet, and family support helped him recover despite his turbulent recovery phase. As far as steroid therapy is concerned, it is a double-edged sword, meaning that taking (OTC) over-the-counter steroid drugs without first seeking adequate medical advice could have serious negative effects.


Keywords:
  • Disseminated tuberculosis
  • adrenal insufficiency
  • corticosteroid
  • betamethasone
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How to Cite

Anilkumar, A., Manikandan, S., & Sreenivasan, V. (2022). Rare Presentation of Disseminated Tuberculosis in the Present Era of Modern Tuberculosis Management. International Journal of Medical and Pharmaceutical Case Reports, 15(4), 88-94. https://doi.org/10.9734/ijmpcr/2022/v15i4318
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