A Rare Case of Disseminated Tuberculosis of the Bone Marrow in Systemic Lupus Erythematosus: Case Report.

Abstract:

:Patients with systemic lupus erythematosus (SLE) are susceptible to tuberculosis (TB), especially in endemic areas such as China. The variable and nonspecific clinical features of disseminated TB often leads to an erroneous or misdiagnosis. When a patient presents with TB of the bone marrow, the clinical condition is more perplexing and the prognosis is typically poor. Till now, there is no case report after apatinib came in the market.Here, we report a case of TB of the bone marrow accompanied with SLE. The patient exhibited remarkable features, including widespread lesions in the lungs, spinal vertebrae, sacrum, and ilium that were found to be consistent with TB of the bone marrow after histopathological examination.This case highlights the importance of clinical suspicion for TB during the follow-up of SLE patients, especially in endemic areas. An aggressive diagnostic biopsy should be performed in suspected TB patients as early as possible.

journal_name

Medicine (Baltimore)

journal_title

Medicine

authors

Chen D,Yang Z,Yang Y,Zhan Z,Yang X

doi

10.1097/MD.0000000000003552

subject

Has Abstract

pub_date

2016-05-01 00:00:00

pages

e3552

issue

18

eissn

0025-7974

issn

1536-5964

pii

00005792-201605030-00035

journal_volume

95

pub_type

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