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- Internal medicine
- infectious diseases
- intensive & critical care
- genitourinary medicine
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 …
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.