Diagnostic Dilemma


A 3 years 8 months old child presented with recurrent cough and cold. His grandmother was on antituberculous therapy {ATT} for past 6 months. For the same, the child had been started on ATT for past 6 months but symptoms persisted. His Mantoux test was negative. Chest X-Ray at start of ATT showed collapse consolidation of left lung with shift of mediastinum to same side. Current X-Ray also showed similar findings but a cavity within. A sputum culture did not show any acid fast bacilli on smear. Child was given total 1 year of ATT and then it was stopped but Chest X-Ray was same.

Is it a residual disease _?
Expert Opinion :
We did a bronchoalveolar lavage and that did not cause any TB on culture. CT chest shows destroyed left lower lobe. We are planning lobectomy of the diseased lung to prevent recurrent infections.
Answer Discussion :
Raziudin Yusufali Moosajee
ct scan indicated, fungal infection
10 years ago
some other cause of collapse should be looked for like a foreign body due to which picture of x ray has not changed yet
10 years ago

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