ENDOBRONCHIAL TUBERCULOSIS MIMICKING PULMONARY EMBOLISM

Nazim Hussain Bokhari, Talha Mehmood

Abstract


A 35 years old lady had multiple hospital admissions on account of
persistent fever, shortness of breath, dry cough and weight loss of two
months duration. Initially she was admitted in a general hospital because of
fever with chills and progressive shortness of breath. On account of non
responsive dyspnoea and persistent wheeze she was referred to the Cardiac
Institute on suspicion of pulmonary embolism. In the cardiology unit
pulmonary embolism was ruled out. Because of persistent hypoxia she was
suspected to have developed respiratory distress syndrome and was referred
to our unit. In the Pulmonology department pulmonary embolism and
diffuse parenchymal lung disease were excluded. Persistent fever and
wheeze lead to the search for isolation of AFB. As sputum smear came to
be positive for acid fast bacilli she was diagnosed to have endobronchial
tuberculosis. She responded well to antituberculous chemotherapy along
with inhaled bronchodilators and steroids


Keywords


Endobronchial; TB; Embolism.

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