Idiopathic pulmonary fibrosis misdiagnosed as sputum-negative pulmonary tuberculosis
| Autor: | Abdullahi A Abba, Aminu Abbas, Muhammad D Isah, Mohammed Umar |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2016 |
| Předmět: |
0301 basic medicine
Spirometry medicine.medical_specialty ventilatory dysfunction Tuberculosis Case Report Idiopathic pulmonary fibrosis 030105 genetics & heredity poumons 03 medical and health sciences 0302 clinical medicine Medicine dysfonctionnement ventilatoire Idiopathic interstitial pneumonia lungs medicine.diagnostic_test business.industry Interstitial lung disease General Medicine respiratory system medicine.disease Surgery respiratory tract diseases Fibrose pulmonaire idiopathique Prednisolone Sputum Crackles Radiology medicine.symptom business 030217 neurology & neurosurgery medicine.drug |
| Zdroj: | Annals of African Medicine |
| ISSN: | 0975-5764 1596-3519 |
| Popis: | Idiopathic pulmonary fibrosis (IPF), also known as cryptogenic fibrosing alveolitis, is one of a spectrum of idiopathic interstitial pneumonia. IPF is an increasingly common condition which poses many diagnostic and therapeutic challenges leading to misdiagnosis and mismanagement. We presented a 55-year-old male textile trader who was initially managed as sputum-negative pulmonary tuberculosis before histology report. He presented to our clinic with Breathlessness and cough of 3 years and 2.5 years, respectively. He had commenced anti-tuberculosis two months before presentation without significant relief. General Physical examination and vital signs were essentially normal. SPO2 was 96% on room air. Chest Examination revealed end-inspiratory bi-basal velcro-like crackles. Other systemic examinations were normal. Radiological examination by way of chest X- ray and chest CT showed features suggestive of IPF. The patient also had open Lung biopsy for histology and spirometry which demonstrated restrictive ventilatory function pattern. A diagnosis of Interstitial lung disease probably Idiopathic Pulmonary Fibrosis was entertained. He was commenced on Tab prednisolone, Tab Rabeprazole, with minimal improvement. IPF have often been misdiagnosed and treated as pulmonary tuberculosis with unfavorable outcome. |
| Databáze: | OpenAIRE |
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