Development of Disseminated Tuberculosis in a Non- Immune Compromised Patient after COVID-19 Infection: A Case Report

Abstract

Ensiyeh Rahimi*, Sara Ghaderkhani and Yousef Jamshidi

Background: COVID-19 pandemic has had complications and has changed the pattern of disease incidence. COVID-19 affects the immune system. We present a case of disseminated Tuberculosis (TB) in non-immunocompromised person with a history of COVID-19 infection.

Case presentation: A 25 year old woman had a history of mild COVID-19 infection 3 months ago. Then the complaint of back pain began and the headache was added 1 month later. Gradually, the patient’s headache intensified. Finally, the patient was admitted with decreased level of consciousness, delirium and focal neurological symptoms. The work up confirmed disseminated TB contains of miliary pulmonary TB, TB meningitis and TB spondylodiscitis. The patient gradually improved on anti- tuberculosis treatment.

Conclusion: There may be an association between disseminated TB infections following COVID- 19 infection.