Figure 1: Patient’s Brain Magnetic Resonance Image.
To rule out endocarditis, echocardiography was done which detected
severe pericardial effusion of about 750 CCs, and pericardiocentesis
along with a myocardial biopsy and pericardial smear and culture has
been done.
In abdominal and chest spiral CT scans, lesions suspected of miliary TB
including adrenal involvement, multiple pulmonary small nodules, and
mediastinal lymphadenopathies were seen (Figure 2). In infectious
disease consultation sputum smear and culture for mycobacterium
tuberculosis, blood and sputum MTB-PCR, cytology MTB-PCR,
technetium-99m-ethambutol (Tc-EMB) scintigraphy, and IGRA were sent.