Disseminated Multifocal Tuberculosis: An Unusual Presentation with Macrophagic Activation Syndrome


Authors : Musallam Mohammed; Meriem Rhazari; Afaf Thouil; Hatim Kouismi

Volume/Issue : Volume 7 - 2022, Issue 11 - November


Google Scholar : https://bit.ly/3IIfn9N

Scribd : https://bit.ly/3C0Zn24

DOI : https://doi.org/10.5281/zenodo.7480878


Abstract : Macrophage activation syndrome (MAS) is a rare but severe entity, associated with inappropriate stimulation of macrophages in the bone marrow and lymphoid organs, the diagnosis is based on the association of clinical, biological and cyto-histological signs, this syndrome can be primary or secondary, it is rarely described in association with tuberculosis. We tend to report an uncommon case of a young immuno-competent patient with disseminated tuberculosis complicated by MAS, the prognosis is poor, with a mortality of nearly 50%; thus, it is necessary to focus on MAS as the result of its prevalence may be an issue of poor prognosis with critical implications.

Keywords : Disseminated tuberculosis / Macrophagic activation syndrome / Pancytopenia / Antibacterial therapy /immunosuppressive treatment

Macrophage activation syndrome (MAS) is a rare but severe entity, associated with inappropriate stimulation of macrophages in the bone marrow and lymphoid organs, the diagnosis is based on the association of clinical, biological and cyto-histological signs, this syndrome can be primary or secondary, it is rarely described in association with tuberculosis. We tend to report an uncommon case of a young immuno-competent patient with disseminated tuberculosis complicated by MAS, the prognosis is poor, with a mortality of nearly 50%; thus, it is necessary to focus on MAS as the result of its prevalence may be an issue of poor prognosis with critical implications.

Keywords : Disseminated tuberculosis / Macrophagic activation syndrome / Pancytopenia / Antibacterial therapy /immunosuppressive treatment

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