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Introduction: Tuberculosis TB is an air-borne infection caused by the organismMycobacterium Tuberculosis that can affect any organ though it commonlyinvolves infection of the lungs. Given the nature of Extra-PulmonaryTuberculosis EPTB that has various form of clinical manifestation, diagnosingEPTB remains a challenge. Background: This report discusses three cases of EPTBthat posed diagnostic and management challenges. The first case presented aspleural effusion and TB was diagnosed on pleural biopsy. The second casepresented with abdominal pain and mass in the right iliac fossa. Finaldiagnosis of tuberculous colitis was made post-laparotomy and he underwentsuccessful anti-tuberculous treatment. The third case presented with a singleenlarged cervical lymph node and a typical history. Investigations weresuggestive of tuberculous lymphadenitis and patient showed a positive responseto anti-tuberculous treatment. Conclusion: EPTB has various forms of clinicalmanifestation, which imposes diagnostic and treatment challenges. Thus, it iscrucial to always include tuberculosis as part of working diagnosis especiallyin regions where tuberculosis is endemic until proven otherwise. Hence it isimperative to start treatment early to ensure better response.


Extra-Pulmonary Tuberculosis, Pleural Effusion, Colitis, Lymphadenitis

Cite this paper

Dayalan, M. , Johnson, H. , Kasinathan, G. and Pillai, N. 2016 Unusual Presentations of Tuberculosis: A Case Series. Open Access Library Journal, 3, 1-14. doi: 10.4236-oalib.1102478.

Autor: Mano Raj Dayalan1*, Hema Darshinee Johnson1, Ganesh Kasinathan2, Naganathan Pillai1

Fuente: http://www.scirp.org/


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