Archive for the 'Pulmonary Lesions' Category

03 Oct

New Pulmonary Lesions During Therapy for Extrapulmonary Tuberculosis: Conclusion

The mechanism for this unusual phenomenon remains unclear. It has been suggested that active TB can result in immunosuppression through an altered cell-mediated response. Once active TB is under control after appropriate therapy, enhanced focal immune responses (immunological rebound) will recruit lymphocytes and macrophages at the site of these lesions, which then enlarge and become […]

02 Oct

New Pulmonary Lesions During Therapy for Extrapulmonary Tuberculosis: Discussion

What is the Diagnosis? Diagnosis: Paradoxical pulmonary response to therapy for extrapulmonary TB. The frontal chest radiograph shows new nodular and coalescent infiltrates in the right upper lung, which is in keeping with reactivated pulmonary TB, The differential diagnoses may include irregular antituberculous medication or multidrug-resistant tuberculosis. The patient, however, had good compliance to antituberculous […]

01 Oct

New Pulmonary Lesions During Therapy for Extrapulmonary Tuberculosis

In April 1998, a 60-year-old man was admitted to the hospital with productive cough and right upper quadrant abdominal discomfort. About 2 years ago, he presented with persisted diarrhea and abdominal pain. An infrarenal abdominal aortic aneurysm was evidenced by the CT scan. He underwent a surgical resection of the aneurysm. Bacterial cultures from the […]

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