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 distilled prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. Learned from the 10,348 direct Codex labels and 10,348 direct Gemma labels. Candidate is the union of thresholded teacher heads; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels or direct frontier model labels.
Codex and Gemma teacher scores by category
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.000 | 0.001 |
| Meta-epidemiology (narrow) | 0.000 | 0.000 |
| Meta-epidemiology (broad) | 0.000 | 0.000 |
| Bibliometrics | 0.000 | 0.000 |
| Science and technology studies | 0.000 | 0.000 |
| Scholarly communication | 0.000 | 0.000 |
| Open science | 0.000 | 0.000 |
| Research integrity | 0.000 | 0.000 |
| Insufficient payload (model declined to judge) | 0.000 | 0.000 |
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 teacher head, 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".