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...

Full description

Bibliographic Details
Main Authors: Ram Chandra Subedi, Subi Acharya, Ayush Adhikari, Sabin Banmala, Tibbin Kumar Shiwakoti, Pearlbiga Karki, Shekhar Gurung, Bhuwan Bhatta, Naresh Kharbuja, Raju Paudel
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