[Miliary tuberculosis in the elderly: Case report].

The symptoms of tuberculosis in the elderly are nonspecific, causing a delay in seeking medical attention; leading to underdiagnosis and delay in treatment. We present de case of an 90-year-old male, autonomous. Consultation due to asthenia, anorexia and unquantified weight loss. Decreased mobility in the last two months and pain and edema in his right lower extremity. The complementary examination shows chest x-ray with diffuse bilateral reticulonodular pattern and doppler echocardiography with deep vein thrombosis in the right femoropopliteal axis and Pulmonary CT angiography, showed an extensive bilateral micronodular pattern with infiltrates, one of them cavitated and mediastinal lymphadenopathy. Findings highly compatible with miliary tuberculosis. Tuberculosis PCR cultures were positive after 72hours. Despite antibiotic treatment was started, 3 weeks after discharge, he consulted again due to clinical worsening, multiple emetic episodes and jaundice, with increased bilirubin and hypertransaminasemia, indicating hepatotoxicity due to antiphymic drugs.