DISSEMINATED TUBERCULOSIS WITH MEDULLARY TUBERCULOMA, ABDOMINAL AND PULMONARY INVOLVEMENT: A RARE CASE REPORT

Abstract

We present the case of a 58-year-old diabetic and hypertensive male who presented with  intractable hiccups lasting more than two weeks. Initial Abdominal imaging revealed  ileocecal thickening.  Neuroimaging revealed multiple caseating and non-caseating ring- enhancing lesions, including one in the medulla oblongata. Chest imaging revealed miliary  tuberculosis with upper lobe cavitation. Sputum AFB smear and GeneXpert confirmed  pulmonary tuberculosis. Anti-tubercular therapy led to resolution of symptoms. This case  highlights the importance of considering central nervous system tuberculosis in patients  with intractable hiccups.