Diagnostic dilemma in disseminated TB could be fatal: lesson learned through a bitter encounter

Diagnostic dilemma in disseminated TB could be fatal: lesson learned through a bitter encounter

A definitive diagnosis of soft tissue cystic swelling is challenging, as clinical and imaging findings might misguide the clinician and delay timely diagnosis and treatment as well as outcome. The radiological features of tubercular cysts often overlap with that of sarcoma or metastatic cancer. Invo...

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Bibliographic Details
Published in:The Egyptian journal of internal medicine Vol. 35; no. 1; pp. 76 - 5
Main Authors: Bahar Moni, Ahmed Suparno, Johnson, Tiffany Ann, McGarvey, Cade Ray, Ivy, Razia Sultana, Yean, Tasmia Jahan, Ahmad, Muhamad Zabidi
Format: Journal Article
Language:English
Published: Berlin/Heidelberg Springer Berlin Heidelberg 06-11-2023
Springer Nature B.V
SpringerOpen
Subjects:
Abdomen
Ankle
Biopsy
Bones
Cancer therapies
Case Report
Cystic swelling
Cysts
Disseminated tuberculosis, Sarcoma
Edema
Fever
Fractures
Histopathology
Internal Medicine
Medical imaging
Medicine
Medicine & Public Health
Metastasis
Metastatic tumor
Orthopedics
Ovaries
Sarcoidosis
Thorax
Tomography
Tuberculosis
Tumors
Metastatic tumor
Cystic swelling
Disseminated tuberculosis, Sarcoma
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Summary:A definitive diagnosis of soft tissue cystic swelling is challenging, as clinical and imaging findings might misguide the clinician and delay timely diagnosis and treatment as well as outcome. The radiological features of tubercular cysts often overlap with that of sarcoma or metastatic cancer. Involvement of a multidisciplinary team, tissue biopsy, and histopathology should supplement standard diagnostic testing and imaging to confirm the diagnosis and avoid delay in treatment. We report a case of multiple cystic swelling of the upper limb, ankle, and pelvis mimicking metastatic ovarian cancer which was later diagnosed as a case of disseminated tuberculosis.
ISSN:2090-9098
1110-7782
2090-9098
DOI:10.1186/s43162-023-00262-9