eng Science and Education Publishing American Journal of Medical Case Reports 2374-216X 2020-10-20 9 1 15 17 10.12691/ajmcr-9-1-5 AJMCR2021915 article Carina R?lo Silvestre carinarolosilvestre@gmail.com 1 Andr¨¦ Nunes 1 Ricardo Cordeiro 1 Jo?o Eus¨¦bio 1 Teresa Falc?o 1 Ant¨®nio Domingos 1 Pulmonology Department, Centro Hospitalar do Oeste, Torres Vedras, Portugal The authors present the case of a 36-year-old woman with disseminated tuberculosis shown by pulmonary nodules and urogenital involvement. Positive cultures for Mycobacterium tuberculosis in urine and bronchial secretions made the diagnosis. After three months of multidrug treatment, there was a clinical and radiologic improvement. This case highlights an uncommon case of an immunocompetent patient with disseminated tuberculosis. A delay in the diagnosis of pulmonary tuberculosis can result in serious public health problems with disease spread. http://pubs.sciepub.com/ajmcr/9/1/5/ajmcr-9-1-5.pdf mycobacterium tuberculosis disseminated tuberculosis infectious diseases