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. 2019 Mar 29;7(1):39-42.
doi: 10.2478/jtim-2019-0008. eCollection 2019 Mar.

Short Course of High-dose Steroids for Anaphylaxis Caused Flare Up of Tuberculosis: A Case Report

Shital Patil  1 , Anil Jadhav  1
Affiliations

Short Course of High-dose Steroids for Anaphylaxis Caused Flare Up of Tuberculosis: A Case Report

Shital Patil et al. J Transl Int Med. .

Abstract

A 25-year-old male patient received high-dose intravenous steroids for life-threatening anaphylaxis because of bee sting only for 4 days resulted in reactivation of latent tuberculosis infection (LTBI). Clinical presentation is acute form of progressive pulmonary tuberculosis with pleural efusion that can be misdiagnosed as a community-acquired pneumonia. High index of suspicion with adequate evaluation is must in all cases to have satisfactory treatment outcome. Bronchoscopy is crucial in evaluation with histopathology expertise is must while managing such cases.

Keywords: high dose steroids; latent tuberculosis infection; pulmonary tuberculosis.

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Conflict of interest statement

Conflict of Interest None declared.

Figures

Figure 1
Figure 1
Normal lung parenchyma with normal hilum, and cardiophrenic and costophrenic angles are clear.
Figure 2
Figure 2
Right lower zone opacification/consolidation obscuring right heart border suggests consolidation of right middle lobe.
Figure 3
Figure 3
Radiological features of right middle lobe collapse with effusion.
Figure 4
Figure 4
Bronchoscopy showed narrowed lumen secondary to peribronchial compression or bulge.
Figure 5
Figure 5
Radiological response to ATT, partial resolution of right middle lobe consolida
Figure 6
Figure 6
Near-complete radiological resolution of parenchymal opacity, with cardiophrenic and costophrenic angles clear.
See this image and copyright information in PMC

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