Zahra Urooj, Akhtar Ali, Falah Noor Ul, Hashmi Shahnawaz
Internal Medicine, Fatima Jinnah Medical University, Lahore, PAK.
Internal Medicine, Army Medical College, Rawalpindi, PAK.
Cureus. 2021 Jan 20;13(1):e12824. doi: 10.7759/cureus.12824.
Pulmonary embolism in the cases of tuberculosis (TB) infection has incited physicians and researchers to derive a reasonable association in the past few years. However, despite the efforts, pulmonary embolism is often misdiagnosed in the context of active TB. Pulmonary embolism in TB is still considered a rare phenomenon, even though it seems to be a probable risk factor based on the emerging literature. We report a case of a young man who presented with recurrent respiratory symptoms. He had no risk factors except a former history of smoking. We believe that the symptoms he had on the initial visit were misinterpreted in the background of TB infection. We followed the case for two months after he was discharged on anticoagulants and anti-TB medication. In this case report, we would like to emphasize the need to consider this occult phenomenon in order to rule out TB in cases of pulmonary embolism and vice versa. We hope that the management of TB in the future might take into account the chances of concomitant pathology of pulmonary embolism in patients with active TB.
在过去几年中，肺结核（TB）感染病例中的肺栓塞问题促使医生和研究人员探寻合理的关联。然而，尽管付出了努力，在活动性肺结核的背景下，肺栓塞仍常被误诊。尽管从新出现的文献来看，肺结核中的肺栓塞似乎是一个可能的危险因素，但它仍被认为是一种罕见现象。我们报告一例出现反复呼吸道症状的年轻男性病例。除了既往吸烟史外，他没有其他危险因素。我们认为，他初次就诊时的症状在肺结核感染背景下被误判了。在他出院后接受抗凝剂和抗结核药物治疗的两个月里，我们对该病例进行了跟踪。在本病例报告中，我们想强调需要考虑这种隐匿现象，以便在肺栓塞病例中排除肺结核，反之亦然。我们希望未来对肺结核的治疗能够考虑到活动性肺结核患者并发肺栓塞病理情况的可能性。
