PT  - JOURNAL ARTICLE
AU  - Bogue, Patrick
AU  - Bolland, Mhairi
AU  - How, Peter
AU  - Benziger, Harrison
TI  - Pulmonary tuberculosis presenting as post-operative fever of unknown origin
AID  - 10.1136/bcr-2016-216329
DP  - 2017 Jan 06
TA  - BMJ Case Reports
PG  - bcr2016216329
VI  - 2017
4099  - http://casereports.bmj.com/content/2017/bcr-2016-216329.short
4100  - http://casereports.bmj.com/content/2017/bcr-2016-216329.full
AB  - Post-operative fever is common following emergency surgery. Investigation and management of post-operative fever can be challenging when a clear source of sepsis is not evident or the underlying source of infection is not recognised. We herein report a case of secondary pulmonary tuberculosis presenting as post-operative fever following emergency laparotomy for a perforated duodenal ulcer. This case of tuberculosis was diagnosed on day 41 post-operatively and prior inconclusive results meant that we relied mainly on re-visiting history and examination in order to identify 3 targeted investigations: plain chest X-ray, sputum sample and blood test. Accordingly, the co-management of this complex patient achieved a good outcome.