Abstract

Tuberculosis is a common infectious disease worldwise. We described a tuberculous case in a 27-year-old male who had unusual dissemination. He was admitted to our hospital with complaints such as shortness of breath, back pain, and a skin lesion in the frontal chest. On admission, the chest X-ray showed pleural effussion on the left hemithorax, the CT scan of the thorax showed 10th and 11th vertebral destruction and paravertebral abcess formation with pleural effusion. The patient's skin biopsy result showed a caseous granulomatous disease. Then, a pleural biopsy was performed. It was reported as a caseous granulomatous disease as in the cutaneous biopsy result. Because of the two results no diagnostic approach was performed for vertebral lesions. The patient was diagnosed as an extrapulmonary organ tuberculosis (cutaneous, vertebral and pleural) and was started on anti-tuberculosis chemotherapy. He had no past history of tuberculosis or other debilitating diseases such as malignancy, alcoholism, diabetes, and immunodeficiency. We wished to share this interesting multiplorgans tuberculosis for clinical experience.