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Three and a half months prior to admission to our department the patient started immunosuppressive therapy with steroids due to radiological and histological findings in the lungs that were interpreted as sarcoidosis (SA). This treatment is likely to be co-responsible for the pronounced dissemination of the TB. The patient was Bacillus Calmette-Gu\u00e9rin (BCG)-vaccinated as a child and had no apparent risk factors for TB apart from travelling in TB-endemic countries until 10 years before falling ill. Screening for latent TB was not performed prior to starting steroid treatment.<\/jats:p>","DOI":"10.1136\/bcr-2019-230652","type":"journal-article","created":{"date-parts":[[2019,11,5]],"date-time":"2019-11-05T07:34:43Z","timestamp":1572939283000},"page":"e230652","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":4,"title":["Contribution to differential diagnosis of sarcoidosis and disseminated tuberculosis"],"prefix":"10.1136","volume":"12","author":[{"given":"Kamille Carstens","family":"Hansen","sequence":"first","affiliation":[{"name":"Health, Aarhus University, Aarhus, Denmark"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"S\u00f8ren","family":"Jensen-Fangel","sequence":"additional","affiliation":[{"name":"Department of Infectious Diseases, Aarhus University Hospital, Aarhus, Denmark"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Bo Langhoff","family":"H\u00f8nge","sequence":"additional","affiliation":[{"name":"Department of Infectious Diseases, Aarhus University Hospital, Aarhus, Denmark"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2019,11,4]]},"reference":[{"key":"2025082723582924000_12.11.e230652.1","doi-asserted-by":"crossref","first-page":"21","DOI":"10.1016\/j.tube.2016.01.003","article-title":"Tuberculosis or sarcoidosis: opposite ends of the same disease spectrum?","volume":"98","author":"Agrawal","year":"2016","journal-title":"Tuberculosis"},{"key":"2025082723582924000_12.11.e230652.2","doi-asserted-by":"crossref","first-page":"261","DOI":"10.1016\/S1473-3099(17)30703-X","article-title":"The global burden of tuberculosis: results from the global burden of disease study 2015","volume":"18","year":"2018","journal-title":"Lancet Infect Dis"},{"key":"2025082723582924000_12.11.e230652.3","unstructured":"Statens Serum Institut C . 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