Open AccessA Case of Pulmonary Tuberculosis Mimicking as Diffuse Alveolar Hemorrhage: A Case Report
Author(s) -
Trilok Chand,
G. Owen Thomas,
Manal M Khan
Publication year - 2021
Publication title -
emirates medical journal
Language(s) - English
Resource type - Journals
ISSN - 0250-6882
DOI - 10.2174/0250688202666210520125644
Subject(s) - diffuse alveolar hemorrhage , medicine , pulmonary tuberculosis , sputum , tuberculosis , presentation (obstetrics) , case presentation , surgery , pathology
Background: Pulmonary tuberculosis (TB) and diffuse alveolar hemorrhage (DAH) have some commonalities in several parts of the world. However, acutehemoptysis with diffuse alveolar shadows while a patient is on anticoagulant and antiplatelet therapy for a specific reason suggests DAH over TB. Case Presentation: In this case, a patient was presented with acute respiratory symptoms with hypoxia and bilateral alveolar shadows. He was treated for DAH at theinitial encounter. However, on follow-up, he was confirmed having active pulmonary TB based on sputum acid-fast-bacilli culture. Conclusion: He was successfully treated with standard first-line anti-tubercular therapy and was subsequently declared cured. Pulmonary DAH with TB, in theabsence of an underlying autoimmune disorder, is rare.