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Pulmonary tuberculosis

Case contributed by Dr Ian Bickle

Presentation

Malnourished, emaciated with high respiration and unwell - in COVID zone.

Patient Data

Age: 35 years
Gender: Female
X-ray

Multiple cavitating lesions in both upper lobes.

Extensive airspace change throughout both lungs.

CT

Extensive thick walled cavities in both upper lobes.  Some have intracavitary fluid in the dependent position.

Extensive consolidation throughout both lungs, much of it peribronchial.  Tree-in-bud pattern is noted.

X-ray

Tracheostomy.

Diffuse consolidation and bilateral upper lobe cavities.

Moderate left side pneumothorax.

X-ray

Tracheostomy.

Diffuse consolidation and bilateral upper lobe cavities.

Left pleural drain.  Small amount of left basal pleural air.

Case Discussion

A case of extensive tuberculosis with one of the recognized complications of a pneumothorax.

The patient was sputum positive for acid fast bacilli.

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Case information

rID: 80285
Published: 19th Aug 2020
Last edited: 19th Aug 2020
System: Chest
Inclusion in quiz mode: Included

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