A miner with No left lung: Extensive pulmonary destruction in delayed effective Multi-Drug-Resistant Tuberculosis treatment

We report a case of extensive pulmonary destruction due to delayed effective pulmonary tuberculosis (TB) treatment in an adult artisanal miner in eastern Democratic Republic of Congo. Xpert MTB/RIF was positive after his second rifampicin-susceptible TB treatment. Chest X-rays were suggestive of lar...

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Published inRespiratory medicine case reports Vol. 31; p. 101234
Main Authors Katoto, Patrick D.M.C., Musole, Patrick, Maheshe, Ghislain, Bamuleke, Bertrand, Murhula, Aime, Balungwe, Patrick, Byamungu, Liliane N.
Format Journal Article
LanguageEnglish
Published Elsevier Ltd 01.01.2020
Elsevier
Subjects
Case Report
Complication
Democratic republic of Congo
Mycobacterium tuberculosis
Thoracic surgery
Complication
Thoracic surgery
Democratic republic of Congo
Mycobacterium tuberculosis
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Summary:We report a case of extensive pulmonary destruction due to delayed effective pulmonary tuberculosis (TB) treatment in an adult artisanal miner in eastern Democratic Republic of Congo. Xpert MTB/RIF was positive after his second rifampicin-susceptible TB treatment. Chest X-rays were suggestive of large cavity, fibrosis of remaining lung and air-fluid levels at the base of the destroyed lung. The patient passed away after delayed effective TB regimens. Clinicians should be aware that urgent surgical intervention is often required to prevent lethal acute respiratory failure and shock notwithstanding effective chemotherapy in such condition. Effort is needed to timely diagnose multidrug resistance TB and to implement thoracic surgery for TB in high burden countries.
Bibliography:ObjectType-Case Study-2
SourceType-Scholarly Journals-1
ObjectType-Feature-4
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ObjectType-Report-1
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ISSN:2213-0071
2213-0071
DOI:10.1016/j.rmcr.2020.101234