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This case aims to demonstrate the atypical presentation of disseminated tuberculosis in older adults, highlighting diagnostic challenges.

A70-10 A Diagnostic Mirage: Unmasking Disseminated Tuberculosis Presenting as Mild Urinary and Neurological Symptoms

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This case aims to demonstrate the atypical presentation of disseminated tuberculosis in older adults, highlighting diagnostic challenges.
Detailed clinical examination of a 67-year-old woman presenting with mild symptoms.
Laboratory tests including lumbar puncture and imaging studies for diagnosis.
Initiation of focused anti-tubercular therapy following diagnostic confirmation.
Induced sputum tested positive for Mycobacterium tuberculosis after initial misdiagnosis.
Clinical improvement followed anti-tubercular therapy, confirming the diagnosis was appropriate.
Integrated analysis of neurological and pulmonary symptoms was essential for correct identification of TB.

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Case report uncovers disseminated TB in an older adult with atypical urinary and neurological symptoms, suggesting importance of prompt diagnosis.

Makena et al. (2026) studied this question.

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Case report uncovers disseminated TB in an older adult with atypical urinary and neurological symptoms, suggesting importance of prompt diagnosis.