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Disseminated tuberculosis presented with explicit hypercalcemia: A clinical case report
Seyed Ali Dehghan Manshadi1, Nahid Shafiee2, Seyed Mohammad Piri3
1Department of Infectious Disease and Tropical Medicine/ Iranian Research Center for HIV/AIDS (IRCHA) Tehran University of Medical Sciences Tehran Iran.
Clinical Case Reports
|February 12, 2024
Summary
Tuberculosis (TB) can cause hypercalcemia, especially in patients with existing health issues. Treating TB with anti-TB drugs alongside standard hypercalcemia management is crucial for recovery.
Area of Science:
- Endocrinology
- Infectious Diseases
- Nephrology
Background:
- Hypercalcemia, a calcium level exceeding 10.5 mg/dL, is an uncommon manifestation of tuberculosis (TB).
- Patients with comorbidities like renal failure, diabetes, or severe anemia are at higher risk.
- Refractory or resistant hypercalcemia necessitates consideration of TB as a potential underlying cause.
Observation:
- A small percentage of patients with TB develop symptomatic hypercalcemia.
- Disseminated TB can present with persistent hypercalcemia, particularly in young adults.
- Underlying conditions significantly influence the prognosis of TB-related hypercalcemia.
Findings:
- The study highlights a case of a young adult with disseminated TB and persistent hypercalcemia.
- Effective management involved a combination of standard hypercalcemia treatments and anti-tuberculosis drugs.
- Anti-TB therapy was essential in normalizing calcium levels in this patient.
Implications:
- Clinicians should consider tuberculosis in the differential diagnosis of unexplained hypercalcemia.
- Integrated treatment strategies combining anti-TB medications and hypercalcemia management are vital.
- Early diagnosis and treatment of TB-related hypercalcemia can improve patient outcomes.
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