A Case Report of Disseminated Tuberculosis With an Atypical Presentation
Bibliographic record
Abstract
Here we report a 45-year-old male who presented to us with fever, loss of appetite, and painless bilateral testicular swellings. His routine chest X-ray revealed reticulo-nodular opacities in both lung fields. Ultra-sonogram of both testes revealed multiple fairly large space occupying lesions in both testes and epididymides. Initially thought to be a case of testicular tumor with lung metastases, the case later proved to be a case of chronic disseminated tuberculosis (TB), following fine needle aspiration and cytology of both testicular swellings and lung lesion. His sputum smear also revealed acid fast bacilli (2+). Interestingly, this patient had fever, loss of appetite, and cough 2 years ago, but remained well without specific anti-tubercular therapy in the intervening period. This case illustrates that common diseases can present in confusing and atypical ways. This cloaked appearance can misguide us to make a wrong diagnosis. Especially in a TB endemic zone such as ours, TB should not be excluded from the list of differential diagnoses, and should be actively searched. Clin Infect Immun. 2016;1(1):23-26 doi: http://dx.doi.org/10.14740/cii40e
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How this classification was reachedexpand
Full frame machine prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. The Gemma side is a direct model label for every work in the frame, read from the title-only record. The Codex side is a classifier learned from the 10,348 direct Codex labels and calibrated to design-weighted sample rates; fields without enough sample support carry no Codex call. Candidate is the union of the two sides; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels.
Distilled classifier scores by category (both heads)
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.000 | 0.004 |
| Meta-epidemiology (narrow) | 0.002 | 0.001 |
| Meta-epidemiology (broad) | 0.002 | 0.001 |
| Bibliometrics | 0.003 | 0.003 |
| Science and technology studies | 0.004 | 0.002 |
| Scholarly communication | 0.003 | 0.003 |
| Open science | 0.001 | 0.003 |
| Research integrity | 0.006 | 0.004 |
| Insufficient payload (model declined to judge) | 0.004 | 0.002 |
Machine scores (provisional)
The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.
Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from itClassification
machine, unvalidatedMachine predicted; a candidate call from one source (direct Gemma or distilled Codex), not a consensus.
How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".