Cases reported "Tuberculosis, Miliary"

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1/3. Miliary tuberculosis presenting as fever and jaundice with hepatic failure.

    A 58-year-old male patient with miliary tuberculosis presenting as jaundice and hepatic dysfunction was reported. He was admitted to the Miyazaki Medical College Hospital, Miyazaki, japan, because of fever and jaundice. Chest x-ray revealed a calcified primary affect of tuberculosis in the left upper lung field and miliary shadows throughout both lung fields. liver function tests showed indications of obstructive jaundice and hepatic dysfunction. He rapidly deteriorated and died 3 days after admission. autopsy revealed disseminated miliary tuberculosis in all major organs. Many miliary tubercles were densely distributed in the liver, especially in and near the portal tracts. The intestine was free from tuberculous lesions. Miliary tuberculosis with jaundice is rare and its pathogenesis is discussed.
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keywords = x-ray
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2/3. Miliary pattern as presentation of leiomyomatosis of the lung.

    A 30-year-old woman presented with progressive dyspnea on exertion and a rapidly-growing uterine mass. Chest x-ray examination revealed a miliary interstitial nodular pattern in both lung fields. Transbronchial biopsy yielded lung tissue containing multiple nodules of smooth muscle, consistent with benign metastasizing leiomyoma. Subsequent hysterectomy revealed an atypical cellular leiomyoma. We wish to emphasize the need for chest x-ray examination in the workup of uterine tumors in women of reproductive age.
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3/3. Extracorporeal shock wave lithotripsy complicated with miliary tuberculosis.

    We report a case of miliary tuberculosis following extracorporeal shock wave lithotripsy (ESWL*). The patient had right lower caliceal and left distal ureteral calculi on excretory urography. He was hospitalized 50 days after ESWL with fever, weight loss and night sweats. liver function tests were abnormal and he had hypoxemia. A chest x-ray at hospitalization was normal but a miliary pattern developed 10 days later. diagnosis was tuberculosis based on culture of sputum in a Lowenstein medium. Liver biopsy confirmed caseating epithelioid granulomas. Antituberculous treatment was successful. We conclude that renal tuberculosis associated with calcification must be ruled out before treatment with ESWL to avoid a possible hematogenous dissemination.
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keywords = x-ray
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