Reporte de caso
Published on 28 de agosto de 2024 | http://doi.org/10.5867/medwave.2024.07.2917
Late diagnosis of disseminated tuberculosis: A case report
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Summary of main symptoms, signs, examinations, surgical, and pharmacological treatments.
| Productive cough | Positive sputum smear microscopy. | Drainage and surgical cleaning and bone biopsy of left wrist bone | Treatment for susceptible tuberculosis |
| Numbness in left wrist | X-ray of left wrist: fracture of ulna and radius and signs of osteomyelitis. | Puncture and aspiration of a left testicular abscess | Adjuvant antibiotic treatment with oxacillin |
| Phlogosis of the left wrist | Left wrist bone biopsy: chronic osteomyelitis | Total left orchidectomy | |
| Deformity and functional limitation of left wrist | Positive tissue smear of left wrist: positive | Proctosigmoidoscopy and anal biopsy | |
| The sensation of a "lump" in the perianal region | Positive bacilloscopy of left testicular abscess | ||
| Anorectal fistula | Biopsy of the left testicle: microabscesses and non-caseating granuloma. | ||
| Iatrogenic Cushing’s syndrome | Bacilloscopy of anorectal fistula: negative | ||
| Enlargement of the left testicle | Chest X-ray: residual pachypleuritis post pleural tuberculosis |
Prepared by the authors of this study.