Diagnostic Dilemma

Complete collapse lung

we have a 9yr old girl with a year long {at least} complete right lung collapse with consolidation. Already completed 9 mo anti TB treatment with no releif. Presently she is on multi drug resistent anti Tb treatment and Clarithromycin for last about 2 weeks. Mantoux is strongly positive with raised ESR. Bronchoscopy revealed large amount of prulent sputum with out external compresssion.

What should be next steps of management_?
Answer Discussion :
Venkata Ramanarao
Secondary infection has to be treated with antibitootics.Foreign body has to be considered.lobectomy if lung is damaged.
14 years ago
ct, biopsi and lavaj, cultur, after ct you may know if surgery is necesary
14 years ago

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