Miliary tuberculosis

Case contributed by Amrit Hansra
Diagnosis certain

Presentation

The patient is a 54 year old malnourished homeless male who presented with fevers, chills, and a productive cough. He was unable to provide a detailed history as he was altered on admission.

Patient Data

Age: 54
Gender: Male
x-ray

Diffuse reticulonodular opacities bilaterally, suggesting a disseminated infectious etiology.

ct

Cross-sectional imaging confirmed countless 1-2 mm nodules throughout both lungs.  

Case Discussion

Sputum samples were obtained and were highly positive for acid fast bacilli.  

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