Abstract
Objective: To increase clinical suspicion for the diagnosis of Tuberculosis, assist in the recognition and early diagnosis of this pathology and avoid significant morbidity and mortality outcomes. Case details: A 41-year-old male patient with a history of alcohol consumption of spirits and previous visits to emergency care units over the course of 1 year. He sought medical help again, at the time he had an advanced-stage disease, with findings of fracture in thoracic vertebrae from T9 to T11 and a picture of Neurogenic Bladder, associated with Pyelonephritis that evolved with Chronic Kidney Disease and the need for Renal Replacement Therapy. During hospitalization, it was diagnosed: Miliary Tuberculosis, Pott's Disease and Renal Tuberculosis, confirmed by biopsy. Final considerations: Extrapulmonary tuberculosis should be investigated in patients from endemic areas, when symptoms suggest a picture common to other pathologies, presenting chronically and with nonspecific systemic findings. In this way, the chance of cure is increased.