a walking TB

a gentleman presented with right abdominal pain and fever. lost of weight. no cough. no sign of obstructive jaundice. no previous history of surgery.

LFT. normal with slight raised in AST, ALT and ALP. albumin normal.

ultrasound noted liver abscess with paraaortic nodes enlargement.

somehow, referred to ENT to rule out nasopharyngeal cancer. scope done and noted nasopharyngeal mass!!.. biopsy taken.

few days later, HPE came back. guess what?. it was tuberculosis. AFB seen.

CXR reported as possible presentation of TB (no cavity seen but small reticulonodular lesions noted)

Spine Xray = decompression over L4-L5. possible TB spine.

conclusion?. i have TB everywhere.

it was the 3rd case within a week with TB. with 2 of them postive for TB from sputum.

but for him, sputum AFB was negative.

see. how exposed are we medical staffs to TB. TB is around us probably i may have inhaled some.



i thought only my soul that decease in here. so does my body..ouch..

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