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TB, or not TB?
  1. Navneet Arora1,
  2. Aditya Jandial1,
  3. Atul Saroch1,
  4. Velamala Pavani2,
  5. Nalini Gupta2,
  6. Ashok Kumar Pannu1,
  7. Charanpreet Singh1
  1. 1 Internal Medicine, Post Graduate Institute of Medical Education and Research, Chandigarh, India
  2. 2 Department of Cytology and Gynaecological Pathology, Postgraduate Institute of Medical Education and Research, Chandigarh, India
  1. Correspondence to Atul Saroch, Department of Internal Medicine, Post Graduate Institute of Medical Education and Research, Chandigarh, India; atulsaroch{at}gmail.com

http://dx.doi.org/10.1136/postgradmedj-2020-138762

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    A 48-year-old man presented with complaints of intermittent fever, dry cough, breathlessness and significant weight loss for 1 month. He also gave a history of increased urinary frequency and intermittent painless haematuria. Examination revealed bilateral cervical and axillary lymphadenopathy (figure 1A). Auscultation revealed fine inspiratory crepitations in bilateral lung fields. Chest X-ray was suggestive of diffuse involvement, illustrating miliary pattern in bilateral lung fields (figure 1B). Urine examination showed numerous red blood cells. Contrast-enhanced CT of kidney, ureter and bladder suggested a thickened bladder wall (figure 1C). A possibility of disseminated tuberculosis was considered and …

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    Footnotes

    • Twitter Aditya Jandial @Aditya_PGI.

    • Contributors NA, AJ: preparation, revision of the manuscript and patient management. AS: preparation, revision, supervision of the manuscript and patient management. VP, NG: preparation of the manuscript. AKP: preparation, revision, upervision of the manuscript and patient management. CS: preparation of the manuscript.

    • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

    • Competing interests None declared.

    • Patient consent for publication Consent obtained directly from patient(s).

    • Provenance and peer review Not commissioned; internally peer reviewed.