Miliary tuberculosis

Case contributed by Dr David Wang

Presentation

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

Patient Data

Age: 58
Gender: Male
Modality: X-ray

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

Enlarged right paratracheal, aortopulmonary and subcarinal lymph nodes.

 

Modality: 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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Case Information

rID: 39994
Case created: 1st Oct 2015
Last edited: 13th Feb 2017
System: Chest
Inclusion in quiz mode: Included

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