Primary Disseminated Multidrug-Resistant Tuberculosis of the Lungs, Brain, Meninges, and Abdomen: The World’s First Case

Abstract

Tuberculosis is a highly infectious disease. It usually infects the lung, but dissemination to different organs results in a severe form of tuberculosis, i.e., disseminated tuberculosis. The situation becomes even more challenging when the infection is due to multidrug-resistant strains of Mycobacterium tuberculosis. The present case is a very rare one where a 17-year-old Indian girl presented with headache, vomiting, cough with expectoration, abdominal pain, and a seizure. A diagnostic workup led to the diagnosis of primary disseminated multidrug-resistant tuberculosis of the lungs, brain, meninges, and abdomen. She has been prescribed an anti-tubercular regimen per the national guidelines.