{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,2]],"date-time":"2026-07-02T17:28:22Z","timestamp":1783013302838,"version":"3.54.6"},"reference-count":18,"publisher":"Wiley","issue":"8","license":[{"start":{"date-parts":[[2023,8,2]],"date-time":"2023-08-02T00:00:00Z","timestamp":1690934400000},"content-version":"vor","delay-in-days":1,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Clinical Case Reports"],"published-print":{"date-parts":[[2023,8]]},"abstract":"<jats:title>Key Clinical Message<\/jats:title><jats:p>Disseminated tuberculosis (TB) resulting from lymphohematogenous dissemination of <jats:italic>Mycobacterium tuberculosis<\/jats:italic> during primary infection or reactivation of latent disease is rare among young immunocompetent patients. Central nervous system TB (CNS TB) is one of the most challenging clinical diagnoses with high fatality. Here, we describe a young immunocompetent female with no known comorbidities initially presented with military pulmonary TB and later developed CNS TB. This presentation of disseminated TB in immunocompetent patient warrant early diagnosis and treatment.<\/jats:p>","DOI":"10.1002\/ccr3.7754","type":"journal-article","created":{"date-parts":[[2023,8,3]],"date-time":"2023-08-03T04:40:13Z","timestamp":1691037613000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":5,"title":["Disseminated tuberculosis in an immunocompetent woman from the Himalayan region of Nepal: A case report"],"prefix":"10.1002","volume":"11","author":[{"given":"Ram Chandra","family":"Subedi","sequence":"first","affiliation":[{"name":"Department of Neurology Grande International Hospital  Kathmandu Nepal"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Subi","family":"Acharya","sequence":"additional","affiliation":[{"name":"Department of Pediatrics Patan Academy of Health Sciences  Lalitpur Nepal"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ayush","family":"Adhikari","sequence":"additional","affiliation":[{"name":"Department of Anesthesia and Critical Care Tribhuvan University Teaching Hospital  Kathmandu Nepal"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6033-4385","authenticated-orcid":false,"given":"Sabin","family":"Banmala","sequence":"additional","affiliation":[{"name":"Department of Emergency Medicine Sindhuli Hospital  Sindhuli Nepal"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tibbin Kumar","family":"Shiwakoti","sequence":"additional","affiliation":[{"name":"Department of General Practice and Emergency Medicine Karnali Academy of Health Sciences  Jumla Nepal"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Pearlbiga","family":"Karki","sequence":"additional","affiliation":[{"name":"Nepalese Army Institute of Health Sciences  Kathmandu Nepal"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shekhar","family":"Gurung","sequence":"additional","affiliation":[{"name":"Department of Emergency Medicine Chattarapati Free Health Clinic Community Hospital  Kathmandu Nepal"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bhuwan","family":"Bhatta","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine Kantipur Hospital  Kathmandu Nepal"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Naresh","family":"Kharbuja","sequence":"additional","affiliation":[{"name":"Department of Neurology Grande International Hospital  Kathmandu Nepal"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Raju","family":"Paudel","sequence":"additional","affiliation":[{"name":"Department of Neurology Grande International Hospital  Kathmandu Nepal"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2023,8,2]]},"reference":[{"key":"e_1_2_11_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/S1473-3099(05)70163-8"},{"key":"e_1_2_11_3_1","doi-asserted-by":"publisher","DOI":"10.4103\/ijmy.ijmy_31_17"},{"issue":"1","key":"e_1_2_11_4_1","first-page":"116","article-title":"Central nervous system tuberculosis","volume":"11","author":"Cherian A","year":"2011","journal-title":"Afr Health Sci"},{"key":"e_1_2_11_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.clineuro.2009.11.013"},{"issue":"21","key":"e_1_2_11_6_1","first-page":"835","article-title":"Disseminated tuberculosis. 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