ArticleIDCases2025
Unilateral pulmonary miliary tuberculosis with abdominal tubercular lymphadenitis in an apparently immunocompetent adult: A case report.
Article in IDCases, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
0 citing papers in PubMed.
No citing paper in PubMed yet.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Atypical forms of tuberculosis (TB) are gaining recognition, challenging traditional diagnostic criteria classically linked to chronic cough, lethargy, anorexia, evening pyrexia, and weight loss in immunocompromised patients. We present the case of a 23-year-old immunocompetent man from rural central India who developed unilateral pulmonary miliary TB with concurrent abdominal TB lymphadenitis. The patient presented with a two-month history of chronic cough and diffuse abdominal pain. Initial chest radiograph revealed unilateral, right-sided miliary opacities, while abdominal ultrasonography indicated mild circumferential bowel wall thickening and enlarged mesenteric lymph nodes. High-resolution computed tomography (HRCT) of the thorax showed multiple tiny centrilobular and peri-bronchovascular hyperdense nodules in the right lung, and contrast-enhanced computed tomography (CECT) of the abdomen confirmed necrotic mesenteric and para-aortic lymph nodes. Sputum microscopy was negative for acid-fast bacilli (AFB), but bronchoalveolar lavage (BAL) tested positive for AFB, and Truenat MTB PCR confirmed Mycobacterium tuberculosis (MTB) with a load of 6.3 × 10^2 CFU/mL. The patient was diagnosed with unilateral pulmonary miliary TB with abdominal TB lymphadenitis and was treated under the WHO Category I Directly Observed Treatment, Short-course (CAT 1 DOTS) regimen (2HRZE/4HRE) under the National Tuberculosis Elimination Program (NTEP). Symptomatic improvement was observed within four weeks, and a six-month follow-up confirmed clinical and radiological resolution. Despite India's high TB burden, unilateral miliary lung involvement with abdominal lymphadenitis remains rarely reported in immunocompetent hosts. This report emphasises the need for heightened clinical vigilance to optimise detection and management, contributing to global TB elimination efforts.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.