A Rare Case of a Tuberculosis Patient with Sarcoidosis

Petru-Emil Muntean

Overview

Sarcoidosis and tuberculosis are chronic diseases that rarely occur concomitantly. We present the case of a 39-year-old woman with microbiological confirmation of pulmonary tuberculosis and concomitant sarcoidosis. Four weeks after corticosteroid therapy for sarcoidosis was introduced we had positive findings of mycobacterium culture from bronchial aspirate. Based on these results, corticosteroid therapy was discontinued and the patient received anti-tuberculosis therapy for six months as required by the national guidelines. During this period, new nodes on face, nose, and ear appeared and the patient was diagnosed with skin sarcoidosis.

Summary

The patient received colchicine and corticosteroids as per the national guidelines.

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Author Comments

Dr. Petru-Emil Muntean, MD, Masters Degree
Dr. Petru-Emil Muntean, MD, Masters Degree
Spitalul Judetean de Urgenta Arges, Dispensarul de Pneumoftiziologie Pitesti
Medic specialist pneumolog
Competence in Bronchology and Spirometry
Pitesti, Arges | Romania
In cases of diagnostic uncertainty between sarcoidosis and tuberculosis we should administer corticosteroid therapy until we have microbiological confirmation of mycobacterium culture.Dr. Petru-Emil Muntean, MD, Masters Degree

Resources

Folia Medica
DOI: 10.2478/folmed-2018-0055

A Rare Case of a Tuberculosis Patient with Sarcoidosis.

Authors:
Dr. Petru-Emil Muntean, MD, Masters Degree
Dr. Petru-Emil Muntean, MD, Masters Degree
Spitalul Judetean de Urgenta Arges, Dispensarul de Pneumoftiziologie Pitesti
Medic specialist pneumolog
Competence in Bronchology and Spirometry
Pitesti, Arges | Romania

Folia Med (Plovdiv) 2019 Jun;61(2):312-316

Department of Pneumology, Cîmpeni City Hospital, Alba County, Romania.

Background: Sarcoidosis and tuberculosis are chronic diseases that rarely occur concomitantly. We present the case of a 39-year-old woman with microbiological confirmation of pulmonary tuberculosis and concomitant sarcoidosis. Four weeks after corticosteroid therapy for sarcoidosis was introduced we had positive findings of mycobacterium culture from bronchial aspirate. Based on these results, corticosteroid therapy was discontinued and the patient received anti-tuberculosis therapy for six months as required by the national guidelines. During this period, new nodes on face, nose, and ear appeared and the patient was diagnosed with skin sarcoidosis. The patient received colchicine and corticosteroids as per the national guidelines.

Conclusion: In cases of diagnostic uncertainty between sarcoidosis and tuberculosis we should administer corticosteroid therapy until we have microbiological confirmation of mycobacterium culture.

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Source
http://dx.doi.org/10.2478/folmed-2018-0055DOI Listing
June 2019
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