Acute Confusion: An Unusual Presentation of Miliary Tuberculosis

Authors:
Salim Surani, Alim Nagji, Barbara Estement, Subham Manchada, Joseph Varon, Pilar Acosta

Clinical presentation of miliary tuberculosis is highly variable. Patients that present with central nervous system disease such as meningitis or tuberculoma is seen in up to 20% of the cases. Meningeal involvement is usually seen in up to 54% of the cases of miliary tuberculosis, and in just a few minority of patients the AFB smears are positive.

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