{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,8,28]],"date-time":"2025-08-28T07:10:07Z","timestamp":1756365007790,"version":"3.44.0"},"reference-count":7,"publisher":"BMJ","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Reports"],"accepted":{"date-parts":[[2016,12,18]]},"abstract":"<jats:p>Post-operative fever is common following emergency surgery. Investigation and management of post-operative fever can be challenging when a clear source of sepsis is not evident or the underlying source of infection is not recognised. We herein report a case of secondary pulmonary tuberculosis presenting as post-operative fever following emergency laparotomy for a perforated duodenal ulcer. This case of tuberculosis was diagnosed on day 41 post-operatively and prior inconclusive results meant that we relied mainly on re-visiting history and examination in order to identify 3 targeted investigations: plain chest X-ray, sputum sample and blood test. Accordingly, the co-management of this complex patient achieved a good outcome.<\/jats:p>","DOI":"10.1136\/bcr-2016-216329","type":"journal-article","created":{"date-parts":[[2017,1,6]],"date-time":"2017-01-06T12:06:48Z","timestamp":1483704408000},"page":"bcr2016216329","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":0,"title":["Pulmonary tuberculosis presenting as post-operative fever of unknown origin"],"prefix":"10.1136","volume":"2017","author":[{"given":"Patrick","family":"Bogue","sequence":"first","affiliation":[{"name":"Malawi-Liverpool Wellcome Trust Clinical Research Programme, Blantyre, Malawi"},{"name":"Department of General Surgery, East Kent Hospitals University NHS Foundation Trust, Margate, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mhairi","family":"Bolland","sequence":"additional","affiliation":[{"name":"Department of General Surgery, East Kent Hospitals University NHS Foundation Trust, Margate, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Peter","family":"How","sequence":"additional","affiliation":[{"name":"Department of General Surgery, East Kent Hospitals University NHS Foundation Trust, Margate, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Harrison","family":"Benziger","sequence":"additional","affiliation":[{"name":"Department of General Surgery, East Kent Hospitals University NHS Foundation Trust, Margate, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2017,1,6]]},"reference":[{"key":"2025082723571491000_2017.jan06_1.bcr2016216329.1","doi-asserted-by":"publisher","DOI":"10.1053\/j.gastro.2007.03.108"},{"key":"2025082723571491000_2017.jan06_1.bcr2016216329.2","unstructured":"Public Health England. 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National mycobacterium reference laboratory (NMRL). London: Public Health England, 2014. https:\/\/www.gov.uk\/government\/collections\/national-mycobacterium-reference-laboratory-nmrl (accessed 19 May 2016)."},{"key":"2025082723571491000_2017.jan06_1.bcr2016216329.7","doi-asserted-by":"crossref","first-page":"132","DOI":"10.1016\/S0140-6736(54)90115-4","article-title":"Pulmonary tuberculosis in Irish immigrants and in Londoners comparison of hospital patients","volume":"264","author":"Hess","year":"1954","journal-title":"Lancet"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2016-216329","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,28]],"date-time":"2025-08-28T06:57:22Z","timestamp":1756364242000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2016-216329"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2017,1,6]]},"references-count":7,"alternative-id":["10.1136\/bcr-2016-216329"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2016-216329","relation":{},"ISSN":["1757-790X"],"issn-type":[{"type":"electronic","value":"1757-790X"}],"subject":[],"published":{"date-parts":[[2017,1,6]]}}}