Title : Solitary pulmonary nodule turned out to be a microbiologically confirmed pulmonary tuberculosis
Abstract:
A 50 year old male admitted with complaints of left sided chest pain for 15 days, dull aching type, history of shortness of breath on exertion for 15 days, no history of previous similar complaints and no previous history of Pulmonary Tuberculosis, no other associated comorbidities, non smoker, non Alcoholi. On examination patient was stable , on auscultation NVBS heard ,bilateral air entry present, CT Chest showed well defined soft tissue nodule of size 2.2*1.8 cm noted in posterior basal segment of left lower lobe. On routine investigation total count was high ,which was 15500, CT guided biopsy of lung nodule reported as caeseating granulomatous necrosis, Tissue CBNAAT came as MTB detected and rifampicin sensitive. Patient started on Antitubercular therapy(4FDC) . Patient was tolerating ATT well. Antitubercular therapy continued for 6 months, Repeat CT chest showed resolution in that lesion and patient was adviced to stop Antitubercular therapy, advised to review after 1 month.
