Unusual Presentation of Disseminated Tuberculosis in an Incompetent Adult A Case Report and Review of Immunological Implications

Abstract Disseminated tuberculosis (TB) is primarily associated with immunocompromised states, yet it may occasionally present in immunocompetent individuals, posing diagnostic challenges. We report the case of a 28-year-old immunocompetent male with disseminated TB involving the lungs, liver, and spleen. The case underscores the need for a high index of suspicion, even in the absence of classic risk factors. We also discuss the immunological mechanisms that may influence atypical TB dissemination.