A case with pulmonary tuberculosis, pleural effusion, miliary tuberculosis, cervical and mediastinal lymphadenopathy, tubercular arthritis, psoas abscess and severe anemia

In this report, we describe an unusual case of disseminated tuberculosis (DTB) with pulmonary infiltrates, pleural effusion, miliary tuberculosis (MTB), cervical and mediastinal lymphadenopathy, tubercular arthritis, psoas abscess and severe anemia. Although the patient was immunocompetent, the disease had a gradual and unexpected progression. Tuberculosis can be present in multiple sites, especially in patients from areas where tuberculosis is endemic. An early diagnosis and prompt initiation of anti-tuberculosis treatment for appropriate duration ensures recovery even in complicated cases. In the malign forms of tuberculosis, treatment must be extended for a year or more. Response to anti-tuberculosis treatment was favorable in this case.