Disseminated Tuberculosis During the Course of Behçet's Disease: A Case Report
İbak GÖNEN, 1 Mustafa ÖZŞAHİN, 2 Mustafa YILDIRIM, 1 Davut ÖZDEMİR, 1 Leyla YILMAZ AYDIN, 3 Ali KUTLUCAN, 4 Hakan TURAN, 5 Ahmet ŞAHİN, 1 Ramazan BÜYÜKKAYA6
1Department of Infectious Diseases, Medical Faculty of Düzce University, Düzce, Turkey
2Department of Physical Medicine and Rehabilitation, Medical Faculty of Düzce University, Düzce, Turkey
3Department of Chest Diseases, Medical Faculty of Düzce University, Düzce, Turkey
4Department of Internal Medicine, Medical Faculty of Düzce University, Düzce, Turkey
5Department of Dermatology, Medical Faculty of Düzce University, Düzce, Turkey
6Department of Radiology, Medical Faculty of Düzce University, Düzce, Turkey
Keywords: Behçet's diseases; disseminated tuberculosis; immunosupressive treatment
Abstract
In this article, a 22 year-old male with disseminated tuberculosis during the course of Behçet's disease who was admitted with the complaints of fever, headache and fatigue was presented. The initial diagnosis was neuro- Behçet's syndrome. Tuberculosis during the course of rheumatic diseases are often associated with the use of TNF-alpha blockers. In our case, the patient experienced severe disseminated tuberculosis, despite being TNFalpha blocker-naive. To the best of our knowledge, this is the first case of tuberculosis with such a disseminated course developed in a patient with Behçet's disease who received conventional immunosuppressive treatment.