Diagnostic Dilemma: Investigating Respiratory Symptoms in a Middle-aged Smoker-Reference-Cited by-同舟云学术

Diagnostic Dilemma: Investigating Respiratory Symptoms in a Middle-aged Smoker

Published:2024-05-09 Issue: Volume: Page:
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Author:

Nezhad Nazanin Zeinali¹,Fekri Mitra Samareh²,Shahpar Amirhossein³,Nakhaie Mohsen³,Khazaeli Mana²,Farrokhnia Mehrdad⁴,Salajegheh Faranak²

Affiliation:

1. Physiology Research Center, Institute of Neuropharmacology, Kerman University of Medical Sciences, Kerman, Iran

2. Clinical Research Development Unit, Afzalipour Hospital, Kerman University of Medical Sciences, Kerman, Iran

3. Gastroenterology and Hepatology Research Center, Institute of Basic and Clinical Physiology Sciences, Kerman University of Medical Sciences, Kerman, Iran

4. Infectious and Tropical Research Center, Kerman University of Medical Sciences, Kerman Iran

Abstract

This case report presents a diagnostic challenge encountered in a 65-year-old male admitted with fever, dyspnea, chest pain, and hemoptysis, alongside constitutional symptoms including weight loss, night sweats, and fatigue. Despite initial suspicion for pulmonary thromboembolism and empirical antibiotic therapy for pneumonia, subsequent bronchoscopic evaluation revealed acute necrotizing granulomatous bronchitis, strongly indicative of endobronchial tuberculosis. This diagnosis emphasizes the importance of considering tuberculosis in patients with chronic respiratory symptoms, particularly in high-risk populations. Management involves initiating multidrug antitubercular therapy, close monitoring, infection control measures, and patient education. Prompt diagnosis and appropriate management are crucial in optimizing outcomes and reducing disease burden in tuberculosis.

Publisher

Research Square Platform LLC

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