Affiliation:
1. Junior Resident, Department of Respiratory Medicine, Goa Medical College, Goa
2. Junior Resident, Department of Respiratory Medicine, Goa Medical College, Goa.
3. Associate Professor, Department of Respiratory Medicine, Goa Medical College, Goa.
Abstract
Drug resistant tuberculosis continues to be a public health problem, Early diagnosis and initiation of treatment play important role in management
of MDR-TB. Here, we report a patient who is 27 year old female diagnose initially as a case of TB pleural effusion and was initiated on 1st line antiTB drugs, after initial response to therapy and completing intensive phase of treatment, in forth month of continuation phase patient presented with
symptoms of fever, anorexia and weight loss. Further evaluation with CT scan thorax revealed bony involvement with osteolytic lesions involving
multiple ribs and vertebral column leading to multiple paraspinal collections and cold abscess formation involving anterior chest wall, pus
CBNAAT showed mycobacterium tuberculosis resistant to rifampicin which was conrm on culture. Patient was diagnosed as case of
disseminated MDR-tuberculosis.
Subject
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