Miliary tuberculosis (TB) is characterized by the spreading of
Mycobacterium tuberculosis
throughout the body, leading to various clinical manifestations and potential complications. This case involves a 58-year-old male who presented with fever, night sweats, weight loss, and respiratory symptoms. Diagnostic workup revealed the characteristic radiological findings of diffuse miliary nodules on CT scan and X-ray of the chest. Laboratory investigations, including a positive interferon-gamma release assay, supported the diagnosis. The patient was initiated on a multidrug anti-TB regimen consisting of rifampicin, isoniazid, pyrazinamide, and ethambutol, with adjunctive corticosteroids for severe manifestations. Close monitoring and supportive care were provided. The patient started anti-TB therapy and his health improved significantly. He was able to receive a kidney transplant successfully. The case report emphasizes the importance of early recognition, timely diagnosis, and appropriate treatment initiation to improve patient outcomes.
non-gastroenterology (10471; 50.1%) and gastroenterology specialists were similar, but monthly trend of gastroenterology visits significantly increased (pϽ0.001) in different tiers of medical facilities. Antispasmodics (13904; 41.0%) and laxatives (9240; 27.2%) were the most frequently prescribed and monthly consumptions of antipropulsive, antispasmodics and propulsive significantly increased (pϽ0.001) over time. CONCLUSIONS: A small cohort of outpatients receiving long-term IBS treatments contributed to 20% of all IBS outpatient expenditure. As their medical utilization and cost are substantially increasing, further economic evaluation is needed to inform resource allocation decisions in the future.
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