Concluded Case

Pulmonary TB

14 yr girl having c/o fever for 1 month..she is treated by many physician..but fever recured after few days.All reports like optimal mp,dengue,styphi dot,culture urine,Lft,Kft are wnl..cxray pic attached .inj ceftiaxone given,fever subsided for 5 days but she again complain fever..what to do..

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Concluded answer

There is cavity lesion in rt coastal area with infiltrates It is pulmonary tuberculosis Confirm by BAL for pcr Till than continue relevant antibiotics for 10days You may also choose hrct Genxpert /cbnaat Esr and mt

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There is cavity lesion in rt coastal area with infiltrates It is pulmonary tuberculosis Confirm by BAL for pcr Till than continue relevant antibiotics for 10days You may also choose hrct Genxpert /cbnaat Esr and mt

Thanx dr Ashok Leel
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? Koch's chest Cavity lesion seen rt midzone. Needs further investigations and evaluation to conclude diagnosis and line of treatment.

Thanks Dr Pushkar Bhomia
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? Koch’s chest Cavitatry lesion seen rt mid zone Needs further evaluation to reach final diagnosis

Tnx sir
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Rt midzone fibrotic lesion do cbnat CBC esr Mt hrct look s Koch's from history then after report

Hb 9 gm/dl,esr-51
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Rt mid costal region inhomogenous opacities are seen. Considering case of PUO, Adv CECT thorax and FOB BAL examination to conclude.

TUBERCULAR INFILTRATION RIGHT MID ZONE

Rt middle zone lesion Do a HRCT chest to rule out koch's and lung abscess Cbnaat/genXpert What's the reason for thrombocytopenia AKT isn't started yet, dengue serology negative Needs further evaluation to confirm diagnosis Meanwhile its better to go with a combo of ceftriaxone and floroquinolone

Rt koch of lung

SUGGESTIVE. OF KOCH'S CHEST

Irregular opacity over Rt mid peripheral part. Resolving pneumonia /PT.

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Diseases Related to Discussion

Dengue
Tuberculosis
Thrombocytopenia
Pneumonia
Pulmonary Tuberculosis
Lung Abscess