A case of multiple organ tuberculosis

The hematogenous disseminated pulmonary tuberculosis (TB) is usually accompanied with multiple organ tuberculosis. We reported a case, which was a middle-aged female patient, HIV-negative, who presented to hospital with 2-month history of fever and headache, subsequently was diagnosed with hematogenous disseminated tuberculosis. After 2-month HRZE anti-TB treatment, she had persistent fever and headache and found to have intracranial tuberculoma on brain enhanced MRI with liver tuberculous abscess on abdominal CT. She was effectively treated with levofloxacin. Through this case, we found it is important to detect tuberculosis in other organs in any patient with hematogenous disseminated pulmonary tuberculosis, which could be crucial for successful tuberculosis treatment.