Rapid Onset of Acute Miliary Pulmonary Tuberculosis in a Child with AcuteLymphoblastic Leukemia

Mycobacterium tuberculosis (TB) is not uncommon in immunocompromised patients. TB is often neglected because of its atypical manifestation, especially in the early stages of disease. Although some leukemic patients are complicated with co-presentation of TB during their immunosuppressed stage, the advent of miliary pulmonary TB is seldom reported. Herein, we describe a case of active TB in a 6-year-old male with acute lymphoblastic leukemia during the late maintenance phase of therapy. He developed acute miliary pulmonary TB within two weeks after initial signs of lung presentation. The patient recovered in two months by anti-TB treatment of four co-administered therapies