EspPulmonary and Multifocal Osseous Tuberculosis in an Immunocompetent Patient: Case Reportañol

• Autores: Cámara-Reyes, Ramon Rolando, Zuñiga-Rosas, Marco Antonio
• Formato: artículo
• Fecha de Publicación: 2024
• Institución: Universidad Peruana Cayetano Heredia
• Repositorio: Revistas - Universidad Peruana Cayetano Heredia
• Lenguaje: español
• OAI Identifier: oai:revistas.upch.edu.pe:article/5234
• Enlace del recurso: https://revistas.upch.edu.pe/index.php/RMH/article/view/5234
• Nivel de acceso: acceso abierto
• Materia: Tuberculosis extrapulmonar; inmunidad; tuberculosis osteoarticular; reacción en cadena de la polimerasa; Tuberculosis extrapulmonary; Immunity; Tuberculosis osteoarticular; Polymerase Chain Reactio

Extrapulmonary Tuberculosis, accounting for 14% of total tuberculosis cases, represents an uncommon manifestation, with osteoarticular involvement being a rare form. We present the case of a 28-year-old male patient who initially exhibited respiratory symptoms and subsequently developed acute pain and swelling in the second finger of the right hand after exertion. Specific treatment was initiated at a peripheral center upon the isolation of Mycobacterium tuberculosis in sputum. However, due to persistent symptoms and the need for further investigations, the patient was referred to a more specialized center. A biopsy of the swelling was performed, yielding a positive result for GeneXpert MTB/RIF. The initial anatomopathological description prompted further investigation, including a biopsy of an incidentally discovered vertebral lesion at the D9 level. Both reports concluded that the lesions were secondary to tuberculosis. In summary, a diagnosis of disseminated tuberculosis with multifocal osteoarticular involvement was established, and the patient continues the sensitive antitubercular treatment regimen.