Case report Liu gian gian 2016-6-2
Case Report Liu qian qian 2016-6-2
Case report Dyspnoea, weight loss, fever, and headache caused by extrapulmonary tuberculosis in a prison inmate Musharaf Tarajia, Fabio Jaramillo, Amaranta Pernett, Nelson Santamaria Amador goodridge Lancet2014;384:1400
2 Dyspnoea, weight loss, fever, and headache caused by extrapulmonary tuberculosis in a prison inmate Musharaf Tarajia, Fabio Jaramillo, Amaranta Perne8, Nelson Santamaría, Amador Goodridge Lancet 2014; 384: 1400 Case Report
Medical history This is a 55-year-old male, prisoner. v He presented with a 10-day history of breathing difficulty, chest pain, fever, headache, and had also lost more than 10 kg in weight over the previous 2months v His past medical and family history was unremarkable v However he had been in contact with inmates who had had chronic cough for 2 years
3 ü This is a 55-year-old male, prisoner. ü He presented with a 10-day history of breathing difficulty, chest pain, fever, headache, and had also lost more than 10 kg in weight over the previous 2 months. ü His past medical and family history was unremarkable. ü However, he had been in contact with inmates who had had chronic cough for 2 years. Medical history
Physical examination v His vital signs were normal, apart from a respiratory rate of 28 breaths per minute v Wasting and diminished breath sounds at the basal area of the right lung and pleural friction rub Y Neurological examination showed normal mental status, normal reflexes and negative meningeal signs v The rest physical examination were normal
Physical examinaEon 4 ü His vital signs were normal, apart from a respiratory rate of 28 breaths per minute. ü WasDng and diminished breath sounds at the basal area of the right lung and pleural fricEon rub. ü Neurological examinaDon showed normal mental status, normal reflexes and negaDve meningeal signs. ü The rest physical examinaDon were normal
Laboratory tests Anemia WBC:12000/μL V Ahigh neutrophil count v Serum chemistry tests showed mild hyponatremia An HIV test was negative
Laboratory tests 5 ü Anemia ü WBC: 12000/μL ü A high neutrophil count ü Serum chemistry tests showed mild hyponatremia ü An HIV test was negaDve