A 18 year-old weakness man with neck nodes and abdominal pain. Thin, pale, height 165cm, weight 39kg. Pain but not existing abdominal guarding.
Ultrasound noted cervical lymph nodes and nothing detected in the abdomen. They were inflamed nodes but may due to infiltrated lymphoma.
But full body MSCT revealed many inflamed organs may suffer from TB infection.
Lab data showed positive TB in phlegm and increasing abnormally values of some cancer markers: CA-19.9, beta 2 microglobulin and CA-125 . The last one helps differentiating a pulmonary TB from other lung infections as published on medical literature.
The patient remains well after going through the anti-TB course of treatment.
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