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Miliary tuberculosis

Case contributed by Dr David Wang

Presentation

58 year old man with hemoptysis, dysphagia and dysphonia. From India.

Patient Data

Age: 58
Gender: Male
X-ray

Innumerable tiny pulmonary nodules are seen along with a small left pleural effusion.

Enlarged right paratracheal, aortopulmonary and subcarinal lymph nodes.

 

CT

Innumerable tiny nodules are scattered throughout both lungs. In the left lower lobe anteriorly and laterally there are 2 regions of focal consolidation.  There are multiple enlarged mediastinal lymph nodes.  Hilar and axillary lymph nodes are not enlarged.

Case Discussion

MYCOBACTERIAL INVESTIGATIONS SPECIMEN

Specimen Type : Sputum Description : Saliva

MICROSCOPY Auramine-Rhodamine Stain: No Acid Fast Bacilli Detected A negative acid-fast smear result does not exclude the presence of Mycobacterium species.

MYCOBACTERIUM CULTURE SCREEN MGIT bottle <31 days POSITIVE

MYCOBACTERIAL CULTURE 1.Acid Fast Bacilli ISOLATED CULTURE

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