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Indian Journal of Pathology and Microbiology
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CLINICOPATHOLOGIC CONFERENCE
Year : 2018  |  Volume : 61  |  Issue : 3  |  Page : 383-388

A 54-year-old male with diabetic nephropathy and suspected disseminated tuberculosis: Clinicopathologic correlation in a rare diagnosis


1 Department of Pathology, Military Hospital, Jalandhar, Punjab, India
2 Department of Medicine, Military Hospital, Jalandhar, Punjab, India

Correspondence Address:
Aneeta Jassar
Department of Pathology, Military Hospital, Jalandhar - 144 005, Punjab
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/IJPM.IJPM_728_17

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Tuberculosis (TB) and Non-Hodgkins lymphoma (NHL) share similar clinical and radiological features, which make diagnosis a challenge. It is often difficult to rule out a diagnosis of extrapulmonary and/or disseminated TB because of its paucibacillary nature and difficulty in accessing the involved organs. In countries with high prevalence of TB like ours, empirical antitubercular treatment (ATT) is started, and the patient is followed up closely for response. We present a rare case of a 54-year old diabetic male who was suspected to be a case of disseminated TB but had a rapid downhill course despite ATT. A postmortem revealed features of a rare, aggressive T-cell NHL masquerading as disseminated TB.


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