DISSEMINATED TUBERCULOSIS IN AN IMMUNOCOMPROMISED PATIENT WITH CROSSED ECTOPIC FUSION OF KIDNEYS – A CASE REPORT

Dr. Rupak Chatterjee*, Dr. Sumanta Sinha, Dr. Tania Ray Bhadra, Dr. Kumkum Sarkar and Dr. Netai Pramanik

ABSTRACT

Among the various opportunistic infections affecting a HIV seropositive patient, Tuberculosis(TB) is the most common one with disseminated form of the disease being not a very uncommon presentation particularly in those with low CD4 T lymphocyte count. There are some organs which if affected by tuberculosis demands prompt initiation of corticosteroids along with anti-tubercular drugs, which if not timely started will lead to serious complications leading to increased morbidity and mortality. Here, we report such a case in a newly diagnosed HIV seropositive male who had sputum positive pulmonary tuberculosis, bilateral pleural effusion, axillary lymphadenopathy, abdominal TB and TB choroiditis. During radiological imaging, he was also found to have crossed ectopic fusion of kidneys, a rare congenital anomaly detected incidentally.

Keywords: Disseminated Tuberculosis, HIV, crossed ectopic fusion of kidneys.