Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Case Reports
. 2023 Jun 6;15(6):e40035.
doi: 10.7759/cureus.40035. eCollection 2023 Jun.

Post-tubercular Unilateral Lung Destruction: A Complicated Case

Gaurang M Aurangabadkar  1 , Sumer S Choudhary  1 , Shafee M Khan  1 , Ulhas S Jadhav  2 , Pankaj B Wagh  2 , Saood N Ali  3
Affiliations
Case Reports

Post-tubercular Unilateral Lung Destruction: A Complicated Case

Gaurang M Aurangabadkar et al. Cureus. .

Abstract

Pulmonary tuberculosis is associated with long-term complications that affect both the respiratory and cardiovascular systems. We present the case of a 65-year-old male patient who presented with chief complaints of productive cough and breathlessness for the last four years. Further radiological investigations revealed a left-sided destroyed lung with left lung collapse and deviation of the mediastinum towards the left side. The patient responded well to treatment with broad-spectrum antimicrobial drugs and mucolytics.

Keywords: destroyed lung; mediastinal shifting; pulmonary hypertension; pulmonary tuberculosis; two-dimensional echocardiography.

PubMed Disclaimer

Conflict of interest statement

The authors have declared that no competing interests exist.

Figures

Figure 1
Figure 1. A chest X-ray posteroanterior (PA) view on admission showing the destruction of the left lung (red arrow), with ipsilateral tracheal and mediastinal shifting (yellow arrow) and herniation of a part of the right lung into the left hemithorax (green arrow).
Figure 2
Figure 2. A clinical image of the chest wall and neck region of the patient showing a positive Trail’s sign on the left side (red arrow) and drooping of the left shoulder (yellow arrow).
See this image and copyright information in PMC

References

    1. Radiological findings of unilateral tuberculous lung destruction. Porres DV, Persiva O, Pallisa E, Andreu J. Insights Imaging. 2017;8:271–277. - PMC - PubMed
    1. Profile and outcome of unilateral tuberculous lung destruction in Ilorin, Nigeria. Fawibe AE, Salami AK, Oluboyo PO, Desalu OO, Odeigha LO. https://www.ajol.info/index.php/wajm/article/view/77424. West Afr J Med. 2011;30:130–135. - PubMed
    1. Trail's sign in chest examination. Houston AB. https://pubmed.ncbi.nlm.nih.gov/18934011/ Manit Med Rev. 1948;28:84. - PubMed
    1. Tuberculosis of the trachea and main bronchi: CT findings in 17 patients. Kim Y, Lee KS, Yoon JH, et al. AJR Am J Roentgenol. 1997;168:1051–1056. - PubMed
    1. Pulmonary tuberculosis--usual and unusual radiographic presentations. Palmer PE. Semin Roentgenol. 1979;14:204–243. - PubMed

Publication types

LinkOut - more resources