Discovery of Miliaria tuberculosa in Diabetes: Two Case Reports

Abstract

Diabetes is a chronic disease characterized by permanent hyperglycemia, leading to reduced immunity and, consequently, greater susceptibility to infections and delayed clinical manifestation of these infections. Diabetes and tuberculosis interact in two ways: on the one hand, uncontrolled diabetes predisposes patients to the risk of infection and, on the other hand, infection causes diabetes to become uncontrolled. Tuberculous miliaria is a lymphohematogenous dissemination of Mycobacterium tuberculosis in the body. It is a rare, acute, and potentially serious form of the disease. The literature remains limited, with very few studies focusing on the association between Miliary tuberculosis and diabetes, highlighting the need for further research to clarify the clinical and therapeutic implications. Our two clinical cases could draw the attention of practitioners to always look for signs of tuberculosis in people with diabetes. This association is underestimated, can be life-threatening, and requires urgent, multidisciplinary care.