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Revista Virtual de la Sociedad Paraguaya de Medicina Interna

On-line version ISSN 2312-3893


RIVAS KIESE, Myrian et al. Miliary tuberculosis with articular and lung diseases. Rev. virtual Soc. Parag. Med. Int. [online]. 2016, vol.3, n.2, pp.124-128. ISSN 2312-3893.

A male patient comes and consulted for pain and functional impotence of the left hip. With radiographic studies, a hip arthrodesis is decided during surgery and a discharge appears whitish lumps presenting a report Ziehl Neelsen Positive (+). The x- ray shows a diffuse miliary infiltrates in the upper lobes and free costophrenic breasts. He received Antibaciliar treatment. The GeneXpert detects Mycobacterium tuberculosis and rifampin resistance without in joint fluid is isolated Mycobacterium tuberculosis using the automated BACTEC MGIT TM320. The diagnosis of extrapulmonary tuberculosis by molecular techniques and automated methods accelerates the development of mycobacteria and confirm what has been suspected .The diagnosis allows a quick and effective therapeutic intervention.

Keywords : pulmonary tuberculosis; miliary tuberculosis; osteoarticular tuberculosis.

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