One Case Diagnosed as Miliary Tuberculosis in Patient with Initially
Suspected Leptospirosis

Seo, Mi Seon; Lee, Sang Heon; Jeon, Won Seon; Lee, Ji Eun; Chung, Hye Kyoung; Mo, Sang Il; Lim, Gune Il; Hwang, Hun Gyu; Im, Han Hyeok

Case Report

Soonchunhyang Medical Science 2010;16(2): 237-240.

렙토스피라증 의증으로 치료 중인 환자에서 발견된 속립성 결핵 1예

서미선, 이상헌, 전원선, 이지은, 정혜경, 모상일, 임건일, 황헌규, 임한혁

One Case Diagnosed as Miliary Tuberculosis in Patient with Initially Suspected Leptospirosis

Mi Seon Seo, Sang Heon Lee, Won Seon Jeon, Ji Eun Lee, Hye Kyoung Chung, Sang Il Mo, Gune Il Lim, Hun Gyu Hwang, Han Hyeok Im

Corresponding Author: Hun Gyu Hwang ,Tel: +82-54-468-9040, Fax: +82-54-463-7504, Email: hwangpark@hanmail.net

ABSTRACT

Miliary tuberculosis is a severe form of tuberculosis resulting from lymphohematogeneous dissemination of Mycobacterium tuberculosis bacilli. Clinical manifestations are nonspecific and chest radiographic findings may look normal until late in the course of the disease. When diagnosis is delayed, clinical course can be fatal. Based on the laboratory finding, leptospirosis was considered as the cause of fever, which delayed further efforts to find out other causes. Pyrexia which did not subside for 14 days despite proper antibiotic treatment of leptospirosis prompted further studies, resulting in diagnosis of miliary and disseminated abdominal tuberculosis. So we report this case.

Key words: Miliary tuberculosis; Origin-unknown Fever; Leptospirosis