Multiple Pulmonary Arteriovenous Malformation in Post Tuberculosis Patient, a rare incident or an unknown Complication

Abstract

AbstractWe report a case of pulmonary arteriovenous malformation (PAVM) and associated pulmonary tuberculosis in a 20 years old male who presented with shortness of breath on exertion mainly walking on steep up surfaces, bluish discoloration of nails, fingers and lips, platypnea and orthodeoxia. He was treated with anti-tuberculous therapy (ATT) for pulmonary tuberculosis 4 years ago. He also he had plethoric face with grade 4 clubbing. During his stay at hospital he underwent x-ray chest, CT chest with contrast and CT pulmonary angiogram that confirmed multiple pulmonary arteriovenous malformation with aneurysmal dilatation. Trans-catheter coil embolization was planned by interventional radiologist. AVM on left size, due to large size, was difficult to occlude while AVMs on the right were planned if patient later on present with right sided AVMs complication .Due to peculiar nature and sizes of pulmonary AMVs, Patient was not willing for such procedure involving high risk consent, and also due to his financial issues, he opted to be treated conservatively and was discharge on will with home oxygen .Keywords: Pulmonary arteriovenous malformation (PAVM); Pulmonary tuberculosis