Tuberculosis miliar y ganglionar, reporte de un caso y revisión literaria.

Abstract

Introduction: Tuberculosis (TB) constitutes a disease with high morbidity and mortality, when its hematogenous dissemination occurs, it constitutes a form of extrapulmonary presentation, with regard to the association of miliary and lymph node tuberculosis, it is very rare, with few bibliographic reports. We present below a case of miliary TB with adenopathic involvement. Objective: To describe a clinical case of a non-immunocompetent patient with both miliary and lymph node tuberculosis. Materials and methods: Analytical, descriptive, retrospective study, clinical case presentation. Results: Case description of a female patient who presented 2 months ago a greenish expectoration cough associated with asthenia, unexplained weight loss, dyspnea and edema in the lower limbs, for which a medical evaluation with complementary tests was carried out, reporting on chest CT small cavernous lesions suggestive of miliary TB, as well as an abdominal echo that reports a dependent adnexal mass of the left ovary and ascites. Conclusions: When extrapulmonary TB occurs at the lymph node level, its symptoms become nonspecific, which often delays its diagnosis and timely treatment, since all its manifestations will depend on the affected lymph node.