DefinePK

Abstract

A 35 years old lady had multiple hospital admissions on account ofpersistent fever, shortness of breath, dry cough and weight loss of twomonths duration. Initially she was admitted in a general hospital because offever with chills and progressive shortness of breath. On account of nonresponsive dyspnoea and persistent wheeze she was referred to the CardiacInstitute on suspicion of pulmonary embolism. In the cardiology unitpulmonary embolism was ruled out. Because of persistent hypoxia she wassuspected to have developed respiratory distress syndrome and was referredto our unit. In the Pulmonology department pulmonary embolism anddiffuse parenchymal lung disease were excluded. Persistent fever andwheeze lead to the search for isolation of AFB. As sputum smear came tobe positive for acid fast bacilli she was diagnosed to have endobronchialtuberculosis. She responded well to antituberculous chemotherapy alongwith inhaled bronchodilators and steroids