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Miliary tuberculosis and Q fever in an immunocompetent patient
Sandra Simões1, Arsénio Santos, Teresa Vaio
1Interna do Internato Complementar de Medicina Interna.
Abstract:
Miliary tuberculosis is a progressive disease resulting from the massive hematogeneous dissemination of Mycobacterium tuberculosis. Immunocompromised and elderly patients are the most affected. A case of an immunocompetent 45 year old man, with miliary tuberculosis and a simultaneous infection by Coxiella burnetti is presented. The clinical presentation demands a high awareness for the presence of tuberculosis. The rarity of this association, only one case reported in literature, appears to be a fortuity coincidence.
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