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18 August 2021: Articles

A 55-Year-Old Japanese Man with Multiple Sclerosis Diagnosed with Disseminated Tuberculosis Identified by Liver Function Abnormalities: A Case Report

Challenging differential diagnosis, Diagnostic / therapeutic accidents, Management of emergency care, Rare disease, Adverse events of drug therapy, Educational Purpose (only if useful for a systematic review or synthesis)

Akio Miyasaka A* , Shinichirou Sato B , Tomoyuki Masuda C , Yasuhiro Takikawa A

DOI: 10.12659/AJCR.931369

Am J Case Rep 2021; 22:e931369

Table 2. Test for epithelioid granuloma to confirm tuberculosis infection.

Urine smearNegative
Stool smearNegative
Sputum smearNegative
Gastric smearNegative
Bone marrow smearNegative
UrineNegative
StoolNegative
SputumNegative
GastricNegative
Bone marrowNegative
Tuberculin testPositive
Interferon-γ releasing assayIndeterminate
ADA33.0 IU/L
ACE8.4 U/L
Lysozyme10.7 μg/mL
PCR – polymerase chain reaction; ADA – adenosine deaminase; ACE – angiotensin-converting enzyme.

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American Journal of Case Reports eISSN: 1941-5923
American Journal of Case Reports eISSN: 1941-5923