Anabolic androgenic steroids in delayed diagnosis of tuberculosis

Suneet K Upadhyaya; Archana Sharma; Deependra K Rai; Vijay Thawani

doi:10.4103/0976-500X.103698

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CASE REPORT

Year : 2012 | Volume : 3 | Issue : 4 | Page : 345-347

Anabolic androgenic steroids in delayed diagnosis of tuberculosis

Suneet K Upadhyaya¹, Archana Sharma², Deependra K Rai³, Vijay Thawani⁴
¹ Department of Psychiatry, Veer Chandra Singh Garhwali Govt. Medical Science & Research Institute, Srinagar Garhwal, Uttarakhand, India
² Department of Obstetrics and Gynecology, Veer Chandra Singh Garhwali Govt. Medical Science & Research Institute, Srinagar Garhwal, Uttarakhand, India
³ Department of Chest and T.B, Veer Chandra Singh Garhwali Govt. Medical Science & Research Institute, Srinagar Garhwal, Uttarakhand, India
⁴ Department of Pharmacology, Veer Chandra Singh Garhwali Govt. Medical Science & Research Institute, Srinagar Garhwal, Uttarakhand, India

Correspondence Address:
Suneet K Upadhyaya
S/o Shri Ashok Kumar Upadhyaya, Prankur, Opposite Idgaah, Kothun Road, Lalsot, Dausa, Rajasthan
India

Source of Support: None, Conflict of Interest: None

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DOI: 10.4103/0976-500X.103698

This is the first case report depicting masking of symptoms of intestinal tuberculosis by anabolic androgenic steroids (AAS) causing delay in diagnosis which lead to a major surgery. Negative tuberculosis skin test (TST) probably due to immunomodulating effects of AAS also contributed to the delay. Patient also had early dependence on AAS and rapid growth of scrotal sebaceous cysts, findings of which have not yet been reported.

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