{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,9]],"date-time":"2026-09-09T16:41:17Z","timestamp":1788972077831,"version":"build-2803163510"},"reference-count":47,"publisher":"BMJ","issue":"9","license":[{"start":{"date-parts":[[2024,9,3]],"date-time":"2024-09-03T00:00:00Z","timestamp":1725321600000},"content-version":"unspecified","delay-in-days":2,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2024,8,4]]},"published-print":{"date-parts":[[2024,9]]},"abstract":"<jats:p>Tuberculosis (TB) is still a health problem in developing countries. Pulmonary involvement remains the most common clinical presentation. However, multiorgan involvement can be life-threatening. We present the case of a young woman on peritoneal dialysis who was admitted to hospitalisation for hypercalcaemia and low back pain. In his biochemical evaluation, suppressed intact parthyroid hormone (iPTH) and elevated 1,25-hydroxyvitamin D were detected. On a lumbar CT scan, a hypodense lesion in vertebral bodies compatible with Pott\u2019s disease was found. Positive cultures for <jats:italic>Mycobacterium bovis<\/jats:italic> were obtained in bronchoalveolar lavage and peritoneal fluid, for which specific treatment was initiated. Due to neurological deterioration, a CT scan was performed showing the presence of multiple tuberculomas. Retrospectively, the lack of an etiological diagnosis of chronic kidney disease, the initiation of dialysis 8\u2009months before and the clear evidence of long-standing TB strongly suggest mycobacterium infection as the cause or trigger for the rapid decline in kidney function.<\/jats:p>","DOI":"10.1136\/bcr-2024-261875","type":"journal-article","created":{"date-parts":[[2024,9,4]],"date-time":"2024-09-04T01:01:42Z","timestamp":1725411702000},"page":"e261875","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":1,"title":["Massive cerebral tuberculomas, Pott\u2019s disease and hypercalcaemia secondary to <i>Mycobacterium bovis<\/i> in a patient with chronic kidney disease on peritoneal dialysis"],"prefix":"10.1136","volume":"17","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-0678-5481","authenticated-orcid":false,"given":"Mario","family":"Alamilla-Sanchez","sequence":"first","affiliation":[{"name":"Department of Nephrology, Centro Medico Nacional 20 de Noviembre, Mexico City, Mexico"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Carolina","family":"Gonzalez-Fuentes","sequence":"additional","affiliation":[{"name":"Department of Nephrology, Centro Medico Nacional 20 de Noviembre, Mexico City, Mexico"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Juan Daniel","family":"Diaz Garcia","sequence":"additional","affiliation":[{"name":"Department of Nephrology, Centro Medico Nacional 20 de Noviembre, Mexico City, Mexico"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Francisco","family":"Velasco Garcia Lascurain","sequence":"additional","affiliation":[{"name":"Department of Nephrology, Centro Medico Nacional 20 de Noviembre, Mexico City, Mexico"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2024,9,3]]},"reference":[{"key":"2025082800182062000_17.9.e261875.1","doi-asserted-by":"crossref","first-page":"e122","DOI":"10.1016\/S1473-3099(22)00875-1","article-title":"Clinical implications of molecular drug resistance testing for Mycobacterium tuberculosis: a 2023 TBnet\/RESIST-TB consensus statement","volume":"23","author":"Dom\u00ednguez","year":"2023","journal-title":"Lancet Infect Dis"},{"key":"2025082800182062000_17.9.e261875.2","doi-asserted-by":"publisher","DOI":"10.1007\/s10393-012-0754-x"},{"key":"2025082800182062000_17.9.e261875.3","doi-asserted-by":"publisher","DOI":"10.1016\/0021-9975(88)90058-8"},{"key":"2025082800182062000_17.9.e261875.4","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.291.6493.463"},{"key":"2025082800182062000_17.9.e261875.5","doi-asserted-by":"crossref","first-page":"77","DOI":"10.1016\/j.tube.2005.05.002","article-title":"Human Mycobacterium bovis infection in the United Kingdom: Incidence, risks, control measures and review of the zoonotic aspects of bovine tuberculosis","volume":"86","author":"de la Rua-Domenech","year":"2006","journal-title":"Tuberculosis (Edinb)"},{"key":"2025082800182062000_17.9.e261875.6","doi-asserted-by":"publisher","DOI":"10.1016\/0378-1135(94)90053-1"},{"key":"2025082800182062000_17.9.e261875.7","doi-asserted-by":"publisher","DOI":"10.1053\/tvjl.2001.0667"},{"key":"2025082800182062000_17.9.e261875.8","doi-asserted-by":"crossref","first-page":"994745","DOI":"10.3389\/fpubh.2022.994745","article-title":"The impact of Mycobacterium tuberculosis complex in the environment on one health approach","volume":"10","author":"Zhang","year":"2022","journal-title":"Front Public Health"},{"key":"2025082800182062000_17.9.e261875.9","doi-asserted-by":"crossref","DOI":"10.1371\/journal.pone.0142079","article-title":"Widespread Environmental Contamination with Mycobacterium tuberculosis Complex Revealed by a Molecular Detection Protocol","volume":"10","author":"Santos","year":"2015","journal-title":"PLoS One"},{"key":"2025082800182062000_17.9.e261875.10","doi-asserted-by":"crossref","unstructured":"Scriba TJ , Coussens AK , Fletcher HA . 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