Disseminated tuberculosis in an immunocompetent woman from the Himalayan region of Nepal: A case report
Key Clinical Message Disseminated tuberculosis (TB) resulting from lymphohematogenous dissemination of Mycobacterium tuberculosis during primary infection or reactivation of latent disease is rare among young immunocompetent patients. Central nervous system TB (CNS TB) is one of the most challenging...
Main Authors: | , , , , , , , , , |
---|---|
Format: | Article |
Language: | English |
Published: |
Wiley
2023-08-01
|
Series: | Clinical Case Reports |
Subjects: | |
Online Access: | https://doi.org/10.1002/ccr3.7754 |
_version_ | 1797737909933047808 |
---|---|
author | Ram Chandra Subedi Subi Acharya Ayush Adhikari Sabin Banmala Tibbin Kumar Shiwakoti Pearlbiga Karki Shekhar Gurung Bhuwan Bhatta Naresh Kharbuja Raju Paudel |
author_facet | Ram Chandra Subedi Subi Acharya Ayush Adhikari Sabin Banmala Tibbin Kumar Shiwakoti Pearlbiga Karki Shekhar Gurung Bhuwan Bhatta Naresh Kharbuja Raju Paudel |
author_sort | Ram Chandra Subedi |
collection | DOAJ |
description | Key Clinical Message Disseminated tuberculosis (TB) resulting from lymphohematogenous dissemination of Mycobacterium tuberculosis during primary infection or reactivation of latent disease is rare among young immunocompetent patients. Central nervous system TB (CNS TB) is one of the most challenging clinical diagnoses with high fatality. Here, we describe a young immunocompetent female with no known comorbidities initially presented with military pulmonary TB and later developed CNS TB. This presentation of disseminated TB in immunocompetent patient warrant early diagnosis and treatment. |
first_indexed | 2024-03-12T13:36:11Z |
format | Article |
id | doaj.art-3b5d315e34b44306beb7bc947ed9ef2b |
institution | Directory Open Access Journal |
issn | 2050-0904 |
language | English |
last_indexed | 2024-03-12T13:36:11Z |
publishDate | 2023-08-01 |
publisher | Wiley |
record_format | Article |
series | Clinical Case Reports |
spelling | doaj.art-3b5d315e34b44306beb7bc947ed9ef2b2023-08-24T05:00:35ZengWileyClinical Case Reports2050-09042023-08-01118n/an/a10.1002/ccr3.7754Disseminated tuberculosis in an immunocompetent woman from the Himalayan region of Nepal: A case reportRam Chandra Subedi0Subi Acharya1Ayush Adhikari2Sabin Banmala3Tibbin Kumar Shiwakoti4Pearlbiga Karki5Shekhar Gurung6Bhuwan Bhatta7Naresh Kharbuja8Raju Paudel9Department of Neurology Grande International Hospital Kathmandu NepalDepartment of Pediatrics Patan Academy of Health Sciences Lalitpur NepalDepartment of Anesthesia and Critical Care Tribhuvan University Teaching Hospital Kathmandu NepalDepartment of Emergency Medicine Sindhuli Hospital Sindhuli NepalDepartment of General Practice and Emergency Medicine Karnali Academy of Health Sciences Jumla NepalNepalese Army Institute of Health Sciences Kathmandu NepalDepartment of Emergency Medicine Chattarapati Free Health Clinic Community Hospital Kathmandu NepalDepartment of Internal Medicine Kantipur Hospital Kathmandu NepalDepartment of Neurology Grande International Hospital Kathmandu NepalDepartment of Neurology Grande International Hospital Kathmandu NepalKey Clinical Message Disseminated tuberculosis (TB) resulting from lymphohematogenous dissemination of Mycobacterium tuberculosis during primary infection or reactivation of latent disease is rare among young immunocompetent patients. Central nervous system TB (CNS TB) is one of the most challenging clinical diagnoses with high fatality. Here, we describe a young immunocompetent female with no known comorbidities initially presented with military pulmonary TB and later developed CNS TB. This presentation of disseminated TB in immunocompetent patient warrant early diagnosis and treatment.https://doi.org/10.1002/ccr3.7754case reportdisseminated tuberculosismiliary tuberculosisMycobacterium tuberculosistuberculous meningitis |
spellingShingle | Ram Chandra Subedi Subi Acharya Ayush Adhikari Sabin Banmala Tibbin Kumar Shiwakoti Pearlbiga Karki Shekhar Gurung Bhuwan Bhatta Naresh Kharbuja Raju Paudel Disseminated tuberculosis in an immunocompetent woman from the Himalayan region of Nepal: A case report Clinical Case Reports case report disseminated tuberculosis miliary tuberculosis Mycobacterium tuberculosis tuberculous meningitis |
title | Disseminated tuberculosis in an immunocompetent woman from the Himalayan region of Nepal: A case report |
title_full | Disseminated tuberculosis in an immunocompetent woman from the Himalayan region of Nepal: A case report |
title_fullStr | Disseminated tuberculosis in an immunocompetent woman from the Himalayan region of Nepal: A case report |
title_full_unstemmed | Disseminated tuberculosis in an immunocompetent woman from the Himalayan region of Nepal: A case report |
title_short | Disseminated tuberculosis in an immunocompetent woman from the Himalayan region of Nepal: A case report |
title_sort | disseminated tuberculosis in an immunocompetent woman from the himalayan region of nepal a case report |
topic | case report disseminated tuberculosis miliary tuberculosis Mycobacterium tuberculosis tuberculous meningitis |
url | https://doi.org/10.1002/ccr3.7754 |
work_keys_str_mv | AT ramchandrasubedi disseminatedtuberculosisinanimmunocompetentwomanfromthehimalayanregionofnepalacasereport AT subiacharya disseminatedtuberculosisinanimmunocompetentwomanfromthehimalayanregionofnepalacasereport AT ayushadhikari disseminatedtuberculosisinanimmunocompetentwomanfromthehimalayanregionofnepalacasereport AT sabinbanmala disseminatedtuberculosisinanimmunocompetentwomanfromthehimalayanregionofnepalacasereport AT tibbinkumarshiwakoti disseminatedtuberculosisinanimmunocompetentwomanfromthehimalayanregionofnepalacasereport AT pearlbigakarki disseminatedtuberculosisinanimmunocompetentwomanfromthehimalayanregionofnepalacasereport AT shekhargurung disseminatedtuberculosisinanimmunocompetentwomanfromthehimalayanregionofnepalacasereport AT bhuwanbhatta disseminatedtuberculosisinanimmunocompetentwomanfromthehimalayanregionofnepalacasereport AT nareshkharbuja disseminatedtuberculosisinanimmunocompetentwomanfromthehimalayanregionofnepalacasereport AT rajupaudel disseminatedtuberculosisinanimmunocompetentwomanfromthehimalayanregionofnepalacasereport |