A Case of Afebrile Miliary Tuberculosis That Progressed from Tuberculous Spondylitis with Iliopsoas Abscess

DOI Web Site 参考文献4件
  • Namisato Shun
    Department of Internal Medicine, Yonabaru-chuo-Hospital Department of Infectious, Respiratory, and Digestive Medicine, Faculty of Medicine, University of the Ryukyus
  • Nakasone Chikara
    Department of Internal Medicine, Yonabaru-chuo-Hospital Department of Infectious, Respiratory, and Digestive Medicine, Faculty of Medicine, University of the Ryukyus
  • Okudaira Shoko
    Department of Internal Medicine, Yonabaru-chuo-Hospital
  • Touyama Masato
    Department of Internal Medicine, Yonabaru-chuo-Hospital
  • Ishikawa Naoki
    Department of Internal Medicine, Yonabaru-chuo-Hospital
  • Higa Hajime
    Department of Internal Medicine, Okinawa Prefectural Nanbu Medical Center & Children's Medical Center
  • Fujita Jiro
    Department of Infectious, Respiratory, and Digestive Medicine, Faculty of Medicine, University of the Ryukyus

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We present a case of a 78-year-old woman who visited our hospital for chronic atrial fibrillation. She consulted an orthopedic surgeon for lumbar pain in August 2009 and has been followed up for osteoporosis. However, her lumbar pain became exacerbated. In December 2009, clinical examination revealed that the pain was caused by tuberculous spondylitis and iliopsoas abscess. Diffuse miliary shadow, which was undetected earlier, was noted on chest roentgenogram; she was diagnosed with miliary tuberculosis. Lumbar pain is common in elderly individuals and should be regarded as one of the tuberculosis symptoms, considering its atypical course in elderly patients.<br>

収録刊行物

  • Internal Medicine

    Internal Medicine 49 (19), 2151-2155, 2010

    一般社団法人 日本内科学会

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