A misleading appearance of a common disease: A unique presentation of extra pulmonary and multifocal tuberculosis: case report and literature review

Abstract

Tuberculosis (TB) continues to be a common cause of infectious disease, and it’s a common illness for vulnerable populations in resource-limited settings. Extra Pulmonary Tuberculosis (EPTB) accounts for about 20% of TB cases  worldwide. Until now, the diagnostic of ETB is not initially considered especially in the setting of a vague clinical presentation, particularly when it is a multifocal localization defined as the presence of lesions, affecting at least two extrapulmonary sites, with or without pulmonary involvement. Elsewhere multifocal forms are exceptional even in endemic countries and affect mainly immunocompromised patients. Here, we report an uncommon case of extra pulmonary and multifocal tuberculosis, with vertebral, digestive and lymph node involvement in a young immunocompetent patient. Diagnosis was confirmed by pathology after the surgery.

Key words: Tuberculosis, Extra pulmonary, Spine, Infection, Bone