TAILIEUCHUNG - Pulmonary Tuberculosis with Deep Venous Thrombosis

A 45 years old male,smoker, non diabetic and normotensive, diagnosed case of sputum positive pulmonary tuberculosis on antitubercular treatment , having completed the intensive phase of the treatment and presently on continuation phase of the treatment regime with Isoniazid 300mg, Rifampicin 450mg and Pyrazinamide 1500mg, presented to medical outpatient department with complaints of swelling of the right leg since one month. The swelling had been initially progressive and associated with calf physical examination revealed a febrile(101? F oral temperature) male with a body mass index of occasional rales at right infraaxillary area, his rest of the systemic examination was unremarkable. The local examination of the right limb showed a swollen, erythematous and tender. | 2046-1690 Article ID WMC002093 Pulmonary Tuberculosis with Deep Venous Thrombosis Corresponding Author Prof. Parvaiz A Shah Professor Postgraduate Department of Medicine College University of Kashmir 35 Mominabad Hyderpora bye-pass east 190014 - India Submitting Author Prof. Parvaiz A Shah Professor Postgraduate Department of Medicine College University of Kashmir 190014 - India Article ID WMC002093 Article Type Case Report Submitted on 15-Aug-2011 06 17 24 PM GMT Published on 16-Aug-2011 07 15 54 PM GMT Article URL http article_view 2093 Subject Categories GENERAL MEDICINE Keywords Tuberculosis Venous Thrombosis How to cite the article Shah P A Yaseen Y Malik A H. Pulmonary Tuberculosis with Deep Venous Thrombosis . WebmedCentral GENERAL MEDICINE 2011 2 8 WMC002093 Source s of Funding Source of Funding nil Competing Interests Competing interests nil WebmedCentral Case Report Page 1 of 5 WMC002093 Downloaded from http on 24-Dec-2011 06 45 25 AM Pulmonary Tuberculosis with Deep Venous Thrombosis Author s Shah P A Yaseen Y Malik A H Abstract Tuberculosis is commonly encountered in developing countries like India. It can present with uncommon hematological manifestations which if not appropriately heeded to can make real diagnosis present case highlights rare cooccurrence of pulmonary tuberculosis with deep venous thrombosis which may at times pose a diagnostic challenge. Introduction Tuberculosis is a disorder of protean manifestations. There is paucity of data regarding occurrence of deep venous thrombosis in tuberculosis. Acute phase reactants haemostatic changes and transient increase in anticardiolipin antibodies have been attributed to link inflammation with deep vein thrombosis in pulmonary tuberculosis1. As venous thromboembolism can be fatal it is crucial to be proactive in arriving at an early diagnosis and institute prompt treatment2. Case A

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