18 August 2021
: Case report 
A 55-Year-Old Japanese Man with Multiple Sclerosis Diagnosed with Disseminated Tuberculosis Identified by Liver Function Abnormalities: A Case Report
Challenging differential diagnosis, Diagnostic / therapeutic accidents, Management of emergency care, Rare disease, Adverse events of drug therapy, Educational Purpose (only if useful for a systematic review or synthesis)
Akio Miyasaka1ABCDEF*, Shinichirou Sato2BCD, Tomoyuki Masuda3CD, Yasuhiro Takikawa1ADOI: 10.12659/AJCR.931369
Am J Case Rep 2021; 22:e931369
Table 2. Test for epithelioid granuloma to confirm tuberculosis infection.
| Urine smear | Negative |
| Stool smear | Negative |
| Sputum smear | Negative |
| Gastric smear | Negative |
| Bone marrow smear | Negative |
| Urine | Negative |
| Stool | Negative |
| Sputum | Negative |
| Gastric | Negative |
| Bone marrow | Negative |
| Tuberculin test | Positive |
| Interferon-γ releasing assay | Indeterminate |
| ADA | 33.0 IU/L |
| ACE | 8.4 U/L |
| Lysozyme | 10.7 μg/mL |
| PCR – polymerase chain reaction; ADA – adenosine deaminase; ACE – angiotensin-converting enzyme. | |