Abstract:

Hematogenous disseminated tuberculosis is a kind of severe tuberculosis. With hysteresis imaging performances, the symptoms are often untypical, it is difficult to diagnose early. MDS is malignant,without specific clinical manifestations and abnormal performance of the blood system. A case of disseminated tuberculosis complicated with severe hematogenous cell loss in our hospital in April 2017 was reported. The patient presented with “dizziness and fatigue for 3 months, fever for 2 month”was firstly treated with anti-tuberculosis treatment, and then the clinical symptoms, pulmonary lesions and the performance of the blood system improved. The pulmonary lesions were further improvingd, while the blood system abnormalities were aggravated again. Finally, the blood disease was diagnosed as MDS with repeated bone marrow examination. This report aimed to improve the diagnosis and share treatment experience of disseminated tuberculosis complicated with MDS.

Key words: Tuberculosis, pulmonary, Myelodysplastic syndromes, Referral and consultation, Outcome and process assessment (health care), Hematogenous disseminated tuberculosis