One Case Diagnosed as Miliary Tuberculosis in Patient with InitiallySuspected Leptospirosis

Miliary tuberculosis is a severe form of tuberculosis resulting from lymphohematogeneous dissemination of Mycobacterium tuberculosis bacilli. Clinical manifestations are nonspecific and chest radiographic findings may look normal until late in the course of the disease. When diagnosis is delayed, clinical course can be fatal. Based on the laboratory finding, leptospirosis was considered as the cause of fever, which delayed further efforts to find out other causes. Pyrexia which did not subside for 14 days despite proper anti biotic treatment of leptospirosis prompted further studies, resulting in diagnosis of miliary and disseminated abdominal tuberculosis. So we report this case.