Document Detail

Miliary tuberculosis with splenic rupture: a fatal case with hemophagocytic syndrome and possible association with long standing sarcoidosis.
MedLine Citation:
PMID:  7892057     Owner:  NLM     Status:  MEDLINE    
A fatal case of miliary tuberculosis complicated by splenic rupture and reactive hemophagocytic syndrome is presented. A 42 yr old Indian patient with a 7 yr history of sarcoidosis developed miliary tuberculosis and hemophagocytic syndrome after steroid therapy. A ruptured enlarged spleen with hemoperitoneum was detected at autopsy. This case highlights the need to consider the occurrence of tuberculosis in patients with sarcoidosis, especially after steroid therapy. Yellow bodies (Hamazaki-Wesenberg bodies), commonly but not exclusively found in sarcoidosis, were identified within the retroperitoneal lymph nodes in this case.
K Y Lam; W F Ng; A C Chan
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Pathology     Volume:  26     ISSN:  0031-3025     ISO Abbreviation:  Pathology     Publication Date:  1994 Oct 
Date Detail:
Created Date:  1995-04-19     Completed Date:  1995-04-19     Revised Date:  2006-10-31    
Medline Journal Info:
Nlm Unique ID:  0175411     Medline TA:  Pathology     Country:  AUSTRALIA    
Other Details:
Languages:  eng     Pagination:  493-6     Citation Subset:  IM    
Department of Pathology, Queen Mary Hospital, University of Hong Kong.
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MeSH Terms
Fatal Outcome
Histiocytosis, Non-Langerhans-Cell / etiology*
Sarcoidosis / complications*
Splenic Rupture / etiology*
Tuberculosis, Miliary / complications*

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