Multidrug resistant miliary tuberculosis and Pott's disease in an immunocompetent patient

Authors

• Ashok Shah, Department of Respiratory Medicine, Vallabhbhai Patel Chest Institute, University of Delhi, PO Box 2101, Delhi 110 007, India. Tel. +91 (11) 2543 3783. Fax. +91 (11) 2766 7420. E-mail: ashokshah99{at}yahoo.com
• Chandramani Panjabi, Department of Respiratory Medicine, Vallabhbhai Patel Chest Institute, University of Delhi, Delhi, India.
• Vikas Maurya, Department of Respiratory Medicine, Vallabhbhai Patel Chest Institute, University of Delhi, Delhi, India.
• Puneet Khanna, Department of Respiratory Medicine, Vallabhbhai Patel Chest Institute, University of Delhi, Delhi, India.

Abstract

In a high tuberculosis TB prevalence country, mortality due to miliary TB is not unknown but the treatment outcome in general is good. We describe a previously healthy man with miliary TB who did not respond to 2-months antituberculous therapy with 4 drugs. Persistent complaints of backache, which antedated chest symptoms, resulted in a diagnosis of Pott9s disease. Culture of bronchial aspirate yielded multidrug resistant Mycobacterium tuberculosis that responded slowly to streptomycin, ethionamide, cycloserine, clofazimine, ofloxacin, paraaminosalicylic acid and isoniazid. The association of multidrug resistant miliary TB with Pott9s disease in an immunocompetent patient is yet to be highlighted.

Article Type

Case Report

First Page

1468

Last Page

1470

Recommended Citation

Shah, Ashok; Panjabi, Chandramani; Maurya, Vikas; and Khanna, Puneet (2004) "Multidrug resistant miliary tuberculosis and Pott's disease in an immunocompetent patient," Saudi Medical Journal: Vol. 25: Iss. 10, Article 31.
DOI: https://doi.org/10.15537/1658-3175.2607