A Case of Extrapulmonary Disseminated Tuberculosis Including Tuberculous Meningitis in combination with Acute Myelogenous Leukemia.
- Author:
Young Ah CHOI
1
;
Seock Ah IM
;
So Hyeon LEE
;
Hye Jung YOM
;
Young Mee AHN
;
Jin Hee PARK
;
Ho Jung KIM
;
Wha Soon CHUNG
;
Woon Sup HAN
;
Seok LEE
;
Chu Myong SEONG
Author Information
1. Department of Internal Medicine, College of Medicine, Ewha Womans University, Seoul, Korea.
- Publication Type:Case Report
- Keywords:
Acute Leukemia;
Tuberculous meningitis;
Extrapulmonary disseminated tuberculosis
- MeSH:
Adult;
Biopsy;
Bone Marrow;
Brain;
Diagnosis;
Fever;
Fever of Unknown Origin;
Humans;
Hydrocephalus;
Induction Chemotherapy;
Inpatients;
Leukemia;
Leukemia, Myeloid, Acute*;
Lymph Nodes;
Lymphatic Diseases;
Male;
Meningitis;
Tomography, X-Ray Computed;
Tuberculosis*;
Tuberculosis, Meningeal*
- From:Korean Journal of Hematology
2000;35(1):81-86
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
The occurrence of disseminated tuberculosis in combination with acute leukemia is rare. A 28 year old male undergoing induction chemotherapy for AML presented with fever of unknown origin. Upon the studies to make the diagnosis this case turned out to be disseminated tuberculosis including meningitis. The chest CT showed multiple enlarged mediastinal lymphadenopathy. The Brain CT showed noncommunicating obstructive hydrocephalus. Disseminated tuberculosis was pathologically proven by theliver, bone marrow and mediastinal lymph node biopsies. As clinical course improved, radiological lesions were completely resolved after antituberculosis therapy. It is important to consider disseminated tuberculosis for the etiology of FUO inpatient with AML who had suffered from long standing fever.
