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Open Access Case Report

Pulmonary miliary tuberculosis complicated with tuberculous spondylitis; an extraordinary rare association: a case report

Eleni Palama1, Christos Golias1,2, Iosif Illiadis2 and Konstantinos Charalabopoulos2*

Author Affiliations

1 Department of Medicine and Pulmonary Diseases, Grevena State Hospital, 51100 Grevena, Greece

2 Department of Physiology, Clinical Unit, University of Ioannina Medical Faculty, 13 Solomou Street 452 21 Ioannina, Greece

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Cases Journal 2009, 2:7983 doi:10.4076/1757-1626-2-7983

Published: 8 September 2009

Abstract

In the last decade a significant rise in the prevalence of tuberculosis as well as in its extrapulmonary manifestations is detected worldwide. The central nervous system, the genitourinary tract, the organs of the abdomen and the skeletal system, are common sites of infection. Misdiagnosis and delay in treatment are common events. Herein, we present a case of a 78-year-old man non-smoker, with miliary tuberculosis complicated with tuberculous spondylitis. The patient presented with anemia and a left shoulder pain, accompanied by rigor and fever 37.5°C-38°C of one month duration. This entity is extremely rare, since only two similar cases have been reported in the English literature according to PubMed search.