Citation Information :
Sahai K, Rathi KR, Dudani S, Gangadharan V, Gulati R. Asymptomatic Disseminated Tuberculosis as a Cause of Sudden Death in an Immunocompetent Serving Soldier Diagnosed at Autopsy: A Case Report. Journal of Medical Academics 2018; 1 (1):58-60.
We present a case of disseminated tuberculosis (DTB) in a young serving soldier with no prior medical history and admitted with respiratory symptoms of short duration. Tuberculosis (TB) was not suspected on examination. Investigations revealed anemia, relative neutrophilia, and a deranged coagulation profile. He died within six hours of admission. An autopsy revealed evidence of TB in the lungs, kidney, lymph nodes, liver, spleen and bone marrow. This case highlights the importance of recognizing this disease, especially in endemic, resource-limited settings.
Iseman MD. Extrapulmonary tuberculosis in adults. In: Clinician's guide to tuberculosis. 1st ed. Philadelphia. Lippincot Williams and Wilkins. 2000;145-97.
Global Tuberculosis control. WHO report 2015. WHO/HTM/TB 2015.22. Geneva. World Health Organization; 2015.
Grieco MH, Chmel H. Acute disseminated tuberculosis as a diagnostic problem: a clinical study based on twenty eight cases. Am Rev Respir Dis 1974;109:554-60.
Chapman CB, Whorton CM. Acute generalized military tuberculosis in adults. – A clinicopathological study based on sixty three cases diagnosed at autopsy. N Engl J Med 1946;235- 248.
Gavazzi G, Bouchard O, Bosseray A, Lecierq P, Micoud M. Cerebral and pulmonary miliary tuberculosis in an immunocompetant patient: aggravation in an adequately treated patient. Presse Med 1998;27:958-62.
Crump JA, Reller JB. Two decades of disseminated tuberculosis at a University Medical Center. The expanding role of mycobacterial blood culture. Clin Infect Dis 2003;37:1037-43
Charfi MR, Douqui MH, Louzir B, Mestiri A, Zbiba M, Belagia MS, Daghfous J. Disseminated tuberculosis in non immunocompromised host: three case reports. Rev Med Interne 1998; 19:917-20.
Sharma SK, Mohan A, Sharma A. Miliary tuberculosis. A new look at an old foe. Journ of Clin. Tuberculosis and other Mycobacterial diseases 2016;3:13-27.
Long RO, Connor R, Palayew M, Hershfield E, Manfreda J. Disseminated tuberculosis with and without miliary pattern on chest radiograph: a clinical-pathological radiological correlation. Int J Tuberc Lung Dis 1997;1:52-8.
Wang JY, Hsueh PR, Wang SK, Jan IS, Lee LN, Liaw YS et al. Disseminated tuberculosis: a 10 year experience in a medical center. Medicine (Baltimore) 2007;86:39-46.
