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During his stay, he developed sudden-onset abdominal pain due to intestinal perforation. He subsequently deteriorated and underwent multiple interventions, including a Hartmann\u2019s procedure and ileocaecal resection. Histological examination of his sigmoid colon revealed abundant acid-fast bacilli. Unfortunately, the patient died due to multiorgan failure in the context of several complications. This case highlights intestinal perforation as a rare complication of miliary tuberculosis and emphasises the importance of being vigilant for this potential complication.<\/jats:p>","DOI":"10.1136\/bcr-2022-249547","type":"journal-article","created":{"date-parts":[[2022,7,22]],"date-time":"2022-07-22T11:27:29Z","timestamp":1658489249000},"page":"e249547","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":2,"title":["Intestinal perforation due to miliary tuberculosis in a patient with myasthenia gravis"],"prefix":"10.1136","volume":"15","author":[{"given":"Ahmed Ashraf","family":"Morgan","sequence":"first","affiliation":[{"name":"Respiratory Medicine, Imperial College Healthcare NHS Trust, London, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Adil","family":"Mahmood","sequence":"additional","affiliation":[{"name":"Respiratory Medicine, Imperial College Healthcare NHS Trust, London, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Georgina K","family":"Russell","sequence":"additional","affiliation":[{"name":"Chest & Allergy Clinic, St Mary's Hospital, Imperial College Healthcare NHS Trust, London, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Onn Min","family":"Kon","sequence":"additional","affiliation":[{"name":"Respiratory Medicine, Imperial College Healthcare NHS Trust, London, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2022,7,22]]},"reference":[{"key":"2025082800492767000_15.7.e249547.1","unstructured":"Global tuberculosis programme. global tuberculosis report 2020. 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