Annals of Tropical Medicine and Public Health
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Year : 2017  |  Volume : 10  |  Issue : 2  |  Page : 444-446

Pulmonary tubercular cavitory lesion: An unusual presentation in systemic lupus erythematosus

Department of Medicine, King George's Medical University, Lucknow, Uttar Pradesh, India

Correspondence Address:
Arvind Mishra
Department of Medicine, King George's Medical University, Lucknow, Uttar Pradesh
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/1755-6783.208719

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A 26-year-old women diagnosed as having lupus nephritis was managed with immunosuppressive therapy, which included cycles of Inj. Cyclophosphomide along with Inj. Mesna and Inj. Leprolide. After 1-month therapy, the patient developed moderate- to high-grade fever associated with cough and expectoration. Sputum examination was positive for acid-fast bacilli by modified Ziehl - Neelsen (ZN) staining technique. Chest skiagram Posterioanterior (PA) view and Computed tomography (CT) scan thorax depicted thick-walled cavity in right upper zone of lung with air-fluid level. Patient was managed with second-line antituberculosis drugs during hospitalization and was followed.

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