2023-12-03 10:50:24
“Doctor Manoon” Revealing the case of an 81-year-old patient with no underlying disease. Normal healthy body Don’t drink alcohol – don’t smoke. Finally found a lump in the lung from… “Pulmonary Tuberculosis” initial stage
On December 3, 2023, it was reported that Dr. Manoon Leechawengwong, a physician specializing in respiratory system diseases, Vichaiyut Hospital posted a message via personal Facebook stating that an 81-year-old female patient came for a physical examination. A lung x-ray was done and a small lump was seen. In the upper left lung (see picture). An x-ray of the lungs 4 years ago was normal.
The patient is healthy, no fever, no cough, no loss of appetite, no weight loss, no hemoptysis. No night sweats Never had tuberculosis No family history of tuberculosis, no drinking, no smoking, no congenital disease. Normal physical examination Normal blood test
Computerized the lungs and found a lump measuring 1.8 × 3 × 1.5 centimeters. A small cavity was seen. It’s in this lump (see picture). I took a needle to pierce this lump. The tissue was sent for pathological examination. Granulomatous inflammation was found. No cancer was found. Staining did not reveal tuberculosis. and fungi in the meat TB genetic code was not detected. and the tuberculosis culture did not grow.
Diagnosis: Most likely pulmonary tuberculosis. 4 doses of tuberculosis medicine were started: isoniazid, rifampicin, and pyrazinamide. (Pyrazinamide) and Ethambutol (Ethambutol) from 13 June 2023
On August 14, 2023, the medication was reduced to 2 doses, isoniazid and rifampicin. The patient was fine, not allergic to tuberculosis medication, able to eat food, not coughing. Lung x-ray on November 25, the lump in the lung disappeared (see picture ) will continue taking tuberculosis medicine until 6 months have passed and then stop all medicines.
This patient had early-stage pulmonary tuberculosis, asymptomatic, detected by lung x-ray. X-rays are difficult to distinguish from lung cancer. Treat quickly, heal quickly.
Thank you for the information from the Facebook page of Dr. Manoon Leechawengwong FC.
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