Pulmonary tuberculosis

Case contributed by Dr Henry Knipe

Presentation

Cough and fevers

Patient Data

Age: 30
Gender: Male
X-ray

There is a large cavity in the left apex.

CT

Left apical thick-walled cavity with surrounding pulmonary nodules with tree-in-bud opacity. Scattered pulmonary nodules throughout both lungs. No focal consolidation. No pleural or pericardial effusion.

SPECIMEN Specimen Type : Sputum

MICROSCOPY Auramine-Rhodamine Stain: +++ (> 10 Acid fast bacilli DETECTED per HPF) Ziehl-Neelsen Stain: +++ (> 10 Acid fast bacilli DETECTED per HPF)

MYCOBACTERIUM CULTURE SCREEN MGIT bottle <8 days POSITIVE

MYCOBACTERIAL CULTURE 1.Acid Fast Bacilli resemb. M.tuberculosis Complex ISOLATED

Case Discussion

Tuberculosis is a classic cause of a pulmonary cavity, particularly when they occur in the apices. There is radiological evidence of active infection, primarily tree-in-bud opacity.

How to use cases

You can use Radiopaedia cases in a variety of ways to help you learn and teach.

Creating your own cases is easy.

Updating… Please wait.

 Unable to process the form. Check for errors and try again.

 Thank you for updating your details.