Extrapulmonary and Miliary Tuberculosis

Caseating granulomas, regardless of location, can undergo liquefaction, spread tubercle bacilli and cause symptoms.2,6 Because of muted or altered symptoms, the diagnosis of TB is difficult and often delayed in immunocompromised hosts2,3,6 HIV-infected patients may present with only extrapulmonary TB, which is uncommon in HIV-negative persons. A widely disseminated form of the disease called miliary TB can occur, 7?articularly in children and immunocompromised hosts, and it can be rapidly fatal.1 Immediate treatment is required.

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