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.

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Case information

rID: 40135
Case created: 8th Oct 2015
Last edited: 30th Jan 2017
System: Chest
Inclusion in quiz mode: Included

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