Abstract
A 26-year-old male patient with a negative serological testing for human immunodeficiency virus, pulmonary tuberculosis with significant T-lymphocytopenia, multifocal skeletal involvements including the vertebrae and wrist, and in addition, right gluteal and bilateral iliopsoas abscesses.
Highlights
We present a 26-year-old male patient with a negative serological testing for human immunodeficiency virus, miliary tuberculosis with significant Tlymphocytopenia, multifocal skeletal involvements including the vertebrae and wrist, and in addition, right gluteal and bilateral iliopsoas abscesses
There are many issues in the literature focusing on the cases of miliary tuberculosis associated with leukemia, lymphoma, renal failure, dialysis, and transplantation (1)
As in the current case, Idiopathic CD4 T-lymphocytopenia (ICL) have been reported to occur with opportunistic infections (OI) (2)
Summary
We present a 26-year-old male patient with a negative serological testing for human immunodeficiency virus, miliary tuberculosis with significant Tlymphocytopenia, multifocal skeletal involvements including the vertebrae and wrist, and in addition, right gluteal and bilateral iliopsoas abscesses. Başlangıçta, periferik kanda akım-sitometrik analiz ile %13 olarak tespit edilen CD4 T-lenfosit oranı, tedavi periyodu boyunca düşük seviyelerde kaldı (%14 ila %20). Her ne kadar tedavi tamamlandıktan sonra 3üncü ve 9 uncu aylarda bakılan CD4 T lenfosit oranları (sırasıyla %19 ve %22) ve mutlak değerleri (359/mm[3] ve 364/mm3) hafif bir artış gösterse de, düşük seviyede kalmıştır. Anahtar Sözcükler: Gluteal abse, iliopsoas abse, lenfositopeni, milier tüberküloz, iskelet tüberkülozu
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