Tubercular Empyema Thoracic: An Acute Presentation with COVID-19 Co-infection
Published: June 1, 2021 | DOI: https://doi.org/10.7860/JCDR/2021/48397.15039
Sachin Gautam, Sanjay Pandit, Dharam Pal Bhadoria, Rahul Kumar
1. Postgraduate Student, Department of Medicine, Maulana Azad Medical College and Associated Lok Nayak Hospital, New Delhi, India.
2. Professor, Department of Medicine, Maulana Azad Medical College and Associated Lok Nayak Hospital, New Delhi, India.
3. Director Professor, Department of Medicine, Maulana Azad Medical College and Associated Lok Nayak Hospital, New Delhi, India.
4. Postgraduate Student, Department of Medicine, Maulana Azad Medical College and Associated Lok Nayak Hospital, New Delhi, India.
Correspondence
Dr. Sachin Gautam,
D-11, S2, 2nd Floor, Dilshad Colony, Delhi-110095, India.
E-mail: sachingautam26273@gmail.com
COVID-19 (Coronavirus Disease 2019) pandemic is caused by a novel Coronavirus, SARS-CoV-2 (severe acute respiratory syndrome coronavirus 2), which has received worldwide attention and most COVID-19 patients have respiratory symptoms and develop a mild disease. In addition, co-infection of SARS-CoV-2 with other respiratory infections of bacterial, other viral and fungal origin needs to be validated. The clinical features, course and treatment of tuberculosis (TB) patients with COVID-19 are unclear and understudied. There is paucity of literature on this co-infection. Here, authors present a case report of a 35-year-old diabetic Asian male patient who presented to the emergency department as COVID-19 positive with acute exacerbation of symptoms, who later developed respiratory distress and was eventually found to have a lung abscess with subsequent tubercular empyema thoracic on contrary to a severe COVID-19 pneumonia or a fungal infection. Contrast Enhanced Computed Tomography (CECT) chest along with Cartridge-Based Nuclei Acid Amplification Test (CBNAAT) of pleural fluid pus confirmed the tubercular lesion timely to aid the diagnosis and further course of management.
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