Unexplained Harmony; Tuberculosis and Sarcoidosis


UNEXPLAINED HARMONY; TUBERCULOSIS AND SARCOIDOSIS


Menaka Thilakarathna1*, Sasanka Wijayawardhane1, Aflah Sadikeen1, Amitha Fernando1

1National Hospital of Sri Lanka.


Sarcoidosis and tuberculosis are chronic granulomatous diseases with predominant pulmonary involvement. Simultaneous occurrence of sarcoidosis and tuberculosis is a rarely encountered clinical entity. We present two Sri Lankan males with coexisting bacteriologically confirmed tuberculosis and histologically diagnosed sarcoidosis. Careful and timely commencement of anti-tuberculous treatment followed by steroids treatment for sarcoidosis lead to improvement of both conditions. These cases are reported to describe the dilemmas in diagnosis and management of this underrecognized clinical entity.


Keywords: Tuberculosis; Sarcoidosis; Mediastinal lymphadenopathy


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How to cite this article:

Menaka Thilakarathna, Sasanka Wijayawardhane, Aflah Sadikeen, Amitha Fernando. UNEXPLAINED HARMONY; TUBERCULOSIS AND SARCOIDOSIS. International Journal of Case Reports, 2020; 4:177. DOI: 10.28933/ijcr-2020-10-3007


References:

1. Moller DR: Treatment of sarcoidosis – from a basic science point of view. J Intern Med 2003; 253: 31–40.
2. Agarwal R, Gupta D: Tuberculous sarcoidosis: is it a separate entity? Lung India 2009; 26: 61–62.
3. Wong CF, Yew WW, Wong PC, Lee J: A case of concomitant tuberculosis and sarcoidosis with mycobacterial DNA present in the sarcoid lesion. Chest 1998; 114: 626–629.
4. Lin JY, Sheu SJ: Ocular sarcoidosis and tuber-culous lymphadenopathy: coincidence or real association. J Ophthal Inflamm Infect 2011; 1: 137–140.


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