Dear all students, residents, fellows, staffs, and others
This fascinating CPC case is a 60-year-old Thai male (with previous diagnosis and HRZE treatment for culture-proven pulmonary TB) presented with break-through fever with chills and multiple pustular skin lesions, hepatosplenomegaly, generalized lymphadenopathy and weight loss for 3 months, as well as proximal quadriparesis and generalized bone pain finally proven to be osteoblastic and lytic bone lesions for 1 month.
every one is very much welcome for make comments and diagnosis with accompanying explanations
Chusana