Miliary tuberculosis in an Indian lady: Looking beyond miliary tuberculosis
Presence of miliary shadows in chest imaging in the appropriate clinical setting is often taken as a marker of miliary tuberculosis. If sputum is negative for acid -fast bacillus, empirical anti-tubercular therapy is given without securing a histological or microbiological diagnosis. We report a you...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
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Wolters Kluwer Medknow Publications
2015-01-01
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| Series: | Lung India |
| Subjects: | |
| Online Access: | http://www.lungindia.com/article.asp?issn=0970-2113;year=2015;volume=32;issue=5;spage=492;epage=494;aulast=Lakshman |
| _version_ | 1831582232470355968 |
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| author | Arjun Lakshman Varun Dhir Narender Kumar Manphool Singhal |
| author_facet | Arjun Lakshman Varun Dhir Narender Kumar Manphool Singhal |
| author_sort | Arjun Lakshman |
| collection | DOAJ |
| description | Presence of miliary shadows in chest imaging in the appropriate clinical setting is often taken as a marker of miliary tuberculosis. If sputum is negative for acid -fast bacillus, empirical anti-tubercular therapy is given without securing a histological or microbiological diagnosis. We report a young female with human immunodeficiency virus infection who had miliary infiltrates on chest radiography. She was started on empirical anti-tubercular therapy. But an alternate diagnosis was achieved later with invasive sampling and ATT was stopped. This case illustrates the need for physicians to remain alert to diseases which mimic tuberculosis in presentation. |
| first_indexed | 2024-12-17T20:19:51Z |
| format | Article |
| id | doaj.art-4f23db527e1c4dbcaa82f47d7f276f9b |
| institution | Directory Open Access Journal |
| issn | 0970-2113 0974-598X |
| language | English |
| last_indexed | 2024-12-17T20:19:51Z |
| publishDate | 2015-01-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Lung India |
| spelling | doaj.art-4f23db527e1c4dbcaa82f47d7f276f9b2022-12-21T21:33:58ZengWolters Kluwer Medknow PublicationsLung India0970-21130974-598X2015-01-0132549249410.4103/0970-2113.164178Miliary tuberculosis in an Indian lady: Looking beyond miliary tuberculosisArjun LakshmanVarun DhirNarender KumarManphool SinghalPresence of miliary shadows in chest imaging in the appropriate clinical setting is often taken as a marker of miliary tuberculosis. If sputum is negative for acid -fast bacillus, empirical anti-tubercular therapy is given without securing a histological or microbiological diagnosis. We report a young female with human immunodeficiency virus infection who had miliary infiltrates on chest radiography. She was started on empirical anti-tubercular therapy. But an alternate diagnosis was achieved later with invasive sampling and ATT was stopped. This case illustrates the need for physicians to remain alert to diseases which mimic tuberculosis in presentation.http://www.lungindia.com/article.asp?issn=0970-2113;year=2015;volume=32;issue=5;spage=492;epage=494;aulast=LakshmanHistoplasmosishuman immunodeficiency virus infectionmiliary shadowsmiliary tuberculosis |
| spellingShingle | Arjun Lakshman Varun Dhir Narender Kumar Manphool Singhal Miliary tuberculosis in an Indian lady: Looking beyond miliary tuberculosis Lung India Histoplasmosis human immunodeficiency virus infection miliary shadows miliary tuberculosis |
| title | Miliary tuberculosis in an Indian lady: Looking beyond miliary tuberculosis |
| title_full | Miliary tuberculosis in an Indian lady: Looking beyond miliary tuberculosis |
| title_fullStr | Miliary tuberculosis in an Indian lady: Looking beyond miliary tuberculosis |
| title_full_unstemmed | Miliary tuberculosis in an Indian lady: Looking beyond miliary tuberculosis |
| title_short | Miliary tuberculosis in an Indian lady: Looking beyond miliary tuberculosis |
| title_sort | miliary tuberculosis in an indian lady looking beyond miliary tuberculosis |
| topic | Histoplasmosis human immunodeficiency virus infection miliary shadows miliary tuberculosis |
| url | http://www.lungindia.com/article.asp?issn=0970-2113;year=2015;volume=32;issue=5;spage=492;epage=494;aulast=Lakshman |
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