Miliary tuberculosis (MTB) is a type of disseminated and active tuberculosis that presents with radiopathologic signs of tuberculous micronodules and microbiologic evidence from detection of Mycobacterium tuberculosis or other Mycobacterium strains in PCR or culture.
A 21-year-old student presented with weight loss, fever, cough of yellow sputum without hemoptysis, and anorexia of 5 weeks. 7 weeks before presentation, she had an appendectomy because of acute appendicitis. Following surgery, there was the resolution of symptoms of acute appendicitis. Histopathologic report of the resected appendix showed foci of caseating granulomas. She was immediately commenced on a fixed drug combination of rifampicin, isoniazid, pyrazinamide, and ethambutol for treatment of military tuberculosis and showed clinical and radiologic improvement.
Miliary tuberculosis following an appendectomy can be due to the dissemination of tuberculous foci from the appendix during surgery and surgical stress.
Key words: Tuberculosis, Appendectomy