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Within the omental tissue, however, many organisms stained positive for acid-fast bacilli despite lack of typical granulomata. The diagnosis of genitourinary TB was confirmed by urine<jats:italic>Mycobacterium tuberculosis<\/jats:italic>\/rifampin automated molecular rapid nucleic acid amplification test. The chest CT showed a millet seed pattern of infiltration which is a hallmark for miliary TB. After initiation of multidrug TB therapy, her fever and abdominal pain drastically improved.<\/jats:p>","DOI":"10.1136\/bcr-2017-223360","type":"journal-article","created":{"date-parts":[[2018,5,12]],"date-time":"2018-05-12T07:35:10Z","timestamp":1526110510000},"page":"bcr-2017-223360","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":1,"title":["Surprising pathological and clinical manifestations of miliary tuberculosis"],"prefix":"10.1136","volume":"2018","author":[{"given":"Kamonkiat","family":"Wirunsawanya","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4377-7357","authenticated-orcid":false,"given":"Dennis Thomas","family":"Bolger Jr","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2018,5,12]]},"reference":[{"key":"2025042703354331000_2018.may09_1.bcr-2017-223360.1","doi-asserted-by":"publisher","DOI":"10.5588\/ijtld.13.0028"},{"key":"2025042703354331000_2018.may09_1.bcr-2017-223360.2","doi-asserted-by":"publisher","DOI":"10.1097\/MD.0b013e318030b605"},{"key":"2025042703354331000_2018.may09_1.bcr-2017-223360.3","unstructured":"World Health Organization. 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