Annals of Tropical Medicine and Public Health
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Year : 2017  |  Volume : 10  |  Issue : 3  |  Page : 775-778

Atypical mycoplasma pneumoniae, Hepatitis A with extrapulmonary tuberculosis presenting as cold agglutinin

Department of Pathology, Yashoda Hospital, Malakpet, Hyderabad, India

Correspondence Address:
Karishma Rosann Pereira
Department of Pathology, Yashoda Hospitals, Malakpet, Hyderabad
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/1755-6783.213177

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Coexistence of atypical Mycoplasma pneumoniae, Hepatitis A with extrapulmonary tuberculosis in one patient presenting as cold agglutinin is rare. We report a case of 29-year-old male presenting with history of low grade fever, yellowish discoloration of eyes and pain in abdomen. On initial routine investigations diagnosed as pancytopenia, cold agglutinin disease, Hepatitis A, and Mycoplasma pneumoniae. Further investigation including bone marrow biopsy revealed granulomas and positron emission tomography-computed tomography showed tiny deep seated lymph node which on further excision confirms tuberculous lymphadenitis with positive acid fast bacillus. The patient responded well to treatment and recovered completely in due course of time.

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