Author(s): Silva, Catarina Pinto ; de Sousa, Beatriz ; Lima, Joana ; Vasconcelos, Sofia ; Rebelo, Alícia ; Lobo, Ana Luísa ; Fernandes, Alexandre
Date: 2024
Persistent ID: http://hdl.handle.net/10400.16/3803
Origin: Repositório Científico da Unidade Local de Saúde de Santo António (ULSSA)
Tuberculosis is a challenging diagnosis with marked clinical heterogeneity that can lead to diagnostic delay and serious and potentially life-threatening problems. The most prevalent form of the disease is pulmonary tuberculosis. The present case has unique features as in that it describes a case of miliary tuberculosis in an immunocompetent adolescent vaccinated with the Bacillus Calmette-Guerin vaccine and raises awareness of the occurrence of normal radiograph and early in the course of pulmonary tuberculosis, and normal head tomography even in the presence of tuberculous meningitis, highlighting the need for a high index of suspicion. It also shows that tuberculosis should be included in the differential diagnosis of fever of unknown origin with weight loss, even when no epidemiologic link has been established
