Concluded Case

What are the differentials based on HRCT thorax image?

26 yr old female, health care professional having fever, cough and sore throat for 10 days. H/o working in covid hospital with proper PPE Kit usage. COVID - 19 RT PCR negative. HRCT thorax shows this. What is further line of management?

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Concluded answer
Patient was underwent SPUTUM AFB and it turned POSITIVE FOR mycobaterium tuberculosis. And CBNAAT rifampicin sensitive.
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Predominantly right midzone pneumonitis with fibrobronchiectatic infiltrations. DD Bacterial pneumonia ,? PT,?COVID Repeat RT PCR for Covid, do CBC for N/L ratio, DDimer, ferritin, LDH , sputum for AFB and CBNATT . HCQS prophylaxis . Still it can be COVID
Rt sided fibrobronchiectatic lesions with fissural thickening noted. Possibly post tubercular bronchiectasis with Koch's relapse, Secondary infection. Adv Sputum analysis. May initiate antibiotics and mucolytics.
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Thank you doctor
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Bilateral ch chronic pneumonititis ? Tub ercular
Features seen in hrct are suggestive of covid19 pneumonitis as GGOs are seen bilaterally Working in ppe kit does gauranti prevention He needs to be under ICMR protocols
Rt fissural effusion with fibrobronchetic changes with fibrocalcified lesion, suggest old Koch's sequele Sputum afb, genexpert Cbc esr
There is ground glass appearance in right upper lobe The location is peripheral and subpleural This is typical of COViD 19
Patient was underwent SPUTUM AFB and it turned POSITIVE FOR mycobaterium tuberculosis. And CBNAAT rifampicin sensitive.
Ing. Prednisolone O2 inhaltion Montelucast cap Doxy 200mg day one then 100mg Tab Ivermextin 13 mg 3 days
Rt midzone infiltrateswith calcified infiltrates cbnat HIV fbs ppbs looks active kochs
H/o recurrent tonsillitis every 6-8 monthly for last 2 years
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