Publication date: Jul 29, 2026
Extrapulmonary tuberculosis often presents diagnostic challenges due to its involvement in multiple organ systems. We report a case of a 54-year-old, immunocompetent man who presented with prolonged fever and a generalized seizure. Neuroimaging revealed ring-enhancing lesions suggestive of tuberculomas. Further evaluation demonstrated a seminal vesicle abscess and cervical lymphadenitis. Histopathology and microbiological analysis confirmed Tuberculosis. The patient was initiated on antitubercular therapy, along with anti-convulsants and steroids. This case highlights the importance of considering EPTB in patients with sterile pyuria, neurological symptoms, even in immunocompetent individuals without a pulmonary disease.
Semantics
| Type | Source | Name |
|---|---|---|
| disease | MESH | Extrapulmonary Tuberculosis |
| disease | MESH | fever |
| disease | MESH | generalized seizure |
| disease | MESH | tuberculomas |
| disease | MESH | abscess |
| disease | MESH | lymphadenitis |
| disease | MESH | Tuberculosis |
| pathway | KEGG | Tuberculosis |
| disease | MESH | pulmonary disease |
| disease | MESH | Central nervous system tuberculosis |