What does this research mean for the field?

Miliary tuberculosis can initially present with seizures due to central nervous system involvement in immunocompetent individuals, even in the absence of respiratory symptoms. Novelty: ClaimNovelty.INCREMENTAL. Consensus alignment: ConsensusAlignment.NEUTRAL.

What question did this study set out to answer?

This case explores miliary tuberculosis presenting with seizures in an immunocompetent patient to emphasize diagnostic difficulties.

May 20, 2026American Journal of Respiratory and Critical Care Medicine

A70-11 Seizure: The Initial Manifestation of Miliary Tuberculosis

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This case explores miliary tuberculosis presenting with seizures in an immunocompetent patient to emphasize diagnostic difficulties.
Clinical evaluation of a 72-year-old immunocompetent woman with new-onset seizures.
Imaging studies included CT and MRI, revealing CNS lesions.
Microbiologic testing confirmed Mycobacterium tuberculosis from bronchoalveolar lavage and cerebrospinal fluid.
Patient presented with seizures and had positive PCR tests for Mycobacterium tuberculosis.
MRI showed multiple ring-enhancing lesions, indicating CNS involvement.
Despite treatment, the patient's condition deteriorated leading to withdrawal of care.

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Implication

Case report shows seizures signal CNS involvement of miliary TB in an immunocompetent patient, highlighting diagnostic challenges.

Cite This Study

Hassani et al. (2026) studied this question.

synapsesocial.com/papers/6a0d50aff03e14405aa9cab7 https://doi.org/10.1093/ajrccm/aamag162.6671

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A70-11 Seizure: The Initial Manifestation of Miliary Tuberculosis

Key Points

Discussion

Implication

Cite This Study

A70-11 Seizure: The Initial Manifestation of Miliary Tuberculosis

Key Points

Discussion

Implication

Cite This Study

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