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After hyperkalemia correction, the neurological symptoms resolved.<\/jats:p><jats:p>On the second day, he became febrile and chest radiograph and CT images showed a pulmonary bilateral reticulomicronodular pattern, left hydronephrosis and diffuse bladder wall thickening. Disseminated tuberculosis was considered as diagnosis by the coexistence of this imagiologic alterations and sterile pyuria. Acid-fast test for<jats:italic>Mycobacteriumtuberculosis<\/jats:italic>was negative, but the urine culture became positive after 2 weeks.<\/jats:p><jats:p>Antituberculosis treatment was started. One year later, he was asymptomatic and the structural urinary lesions had disappeared.<\/jats:p>","DOI":"10.1136\/bcr-2017-219579","type":"journal-article","created":{"date-parts":[[2017,8,10]],"date-time":"2017-08-10T08:40:15Z","timestamp":1502354415000},"page":"bcr-2017-219579","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":0,"title":["Tetraparesia: an unusual presentation of disseminated tuberculosis"],"prefix":"10.1136","volume":"2017","author":[{"given":"Filipa","family":"Quaresma","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Margarida","family":"Bentes Jesus","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2017,8,10]]},"reference":[{"key":"2025042712280861000_2017.aug10_1.bcr-2017-219579.1","doi-asserted-by":"publisher","DOI":"10.1016\/S0196-0644(98)70107-6"},{"key":"2025042712280861000_2017.aug10_1.bcr-2017-219579.2","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(02)11604-7"},{"key":"2025042712280861000_2017.aug10_1.bcr-2017-219579.3","first-page":"505","article-title":"Severe muscle weakness due to hyperkalemia","volume":"52","author":"Tapiawala","year":"2004","journal-title":"J Assoc Physicians India"},{"key":"2025042712280861000_2017.aug10_1.bcr-2017-219579.4","unstructured":"WHO. 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