A case of generalized tuberculosis
Motomiya, M.; Ohtani, H.; Suzuki, K.; Kimura, M.; Satoh, K.; Shiraishi, K.; Ito, M.; Konno, K.
Zeitschrift für Erkrankungen der Atmungsorgane 158(3): 331-337
1982
ISSN/ISBN: 0303-657X PMID: 7136051 Document Number: 194818
A 52 years old female with suspected malignancy was hospitalized because of fever and lymph node swelling. In spite of lymph node biopsy, bone marrow aspiration, blood culture and other diagnostic procedures, no clue to definite diagnosis was obtained. During the course of hospitalization, abscesses with fistulae appeared and tubercle bacilli were demonstrated in the pus from a subcutaneous abscess. Thus, the diagnosis of tuberculosis was established. Finally the patient died of massive bleeding as a result of perforation into thoracic aorta of the zone of necrosis of esophageal wall. It is to be emphasized that tuberculosis should be kept in the list of differential diagnosis of continuous fever.