Disseminated Tuberculosis Involving Lung, Peritoneum, And Endometrium In An Immunocompetent 17-year-old Patient

Introduction: Disseminated tuberculosis involving multiple organs is rare among patients in developed countries, particularly immunocompetent patients. However, pregnancy is a risk factor for reactivation of latent tuberculosis and/or asymptomatic dissemination of primary tuberculosis. Case Description: A 17-year-old Guatemalan immigrant female, with recent history of spontaneous abortion requiring dilation and curettage at 16 weeks gestation, presented two weeks post-procedure with three days of worsening abdominal pain, diarrhea, fever, and cough. Her physical exam revealed a thin appearance, hypoxia, tachypnea and suprapubic abdominal tenderness without rebound or guarding. Initial labs revealed leukocytosis with neutrophil predominance, acute kidney injury, and synthetic liver dysfunction. CT angiogram of the chest demonstrated an apical lung cavity with …