Efficacy of Comprehensive Cardio-Respiratory Physiotherapy Interventions on Shortness of Breathing, 6-Minute Walk Test, Chest Expansion and Timed Up and Go Test in women with Post Mastectomy A Case Report

• Published in: Research Journal of Science and Technology Vol. 17; no. 2; pp. 113 - 138
• Main Authors: Bhutada, Gauri, Vardhan, Vishnu, Lagade, Bhumika
• Format: Journal Article
• Language: English
• Published: Raipur A&V Publications 15.05.2025
• Subjects: Abscesses; Adjuvants; Anemia; Antihypertensives; Biopsy; Blood; Blood pressure; Blood transfusion; Blood transfusions; Body weight loss; Bone marrow; Breast; Breast cancer; Breast surgery; Cachexia; Cancer therapies; Chronic illnesses; Chronic infection; Comorbidity; Contraindications; Diabetes; Diabetes mellitus; Diabetes mellitus (non-insulin dependent); Dyspnea; Erythrocytes; Extremities; Health services; Hemoglobin; Hypertension; Immune system; Leukocytes; Lumpectomy; Lymph nodes; Lymphadenopathy; Lymphatic system; Mastectomy; Multidrug resistance; Multidrug resistant organisms; Mutation; Myelosuppression; Pancytopenia; Patients; Platelets; Radiation therapy; Skin; Tuberculosis; Weight loss; Womens health
• ISSN: 0975-4393; 2349-2988
• DOI: 10.52711/2349-2988.2025.00019

The patient, a 34-year-old woman with a complex clinical presentation, is undergoing treatment for multidrug-resistant tuberculosis (MDR TB), which is resulting in damage to her breast lymph nodes and the formation of an abscess. Her anti-tuberculosis treatment (ATT) has been going on for the last eighteen months. A significant drop in platelets, white blood cells, and red blood cells indicates that the patient also has severe pancytopenia and bone marrow suppression. These hematologic anomalies aggravate her anemia, generalized weakness, and substantial weight loss. The patient has a medical history of diabetes and hypertension, which makes it more challenging to manage her overall health. In the past, she has also received blood transfusions, which is likely related to her persistent anemia and possible bleeding problems. To manage her TB, improve her haematologic condition, and treat her concomitant diseases, a multidisciplinary strategy is necessary due to the complex clinical scenario formed by the interaction between MDR TB, bone marrow suppression, and pre-existing comorbidities. The overlapping concerns of chronic infection, diabetes and hypertension control, and substantial haematologic deterioration require careful adjustments to supportive care and continuing treatment.