27May 2019

A CASE OF HEMOPTYSIS DUE TO SILICOTUBERCULOSIS: CASE REPORT.

  • Assistant professor, Department of Pulmonology, SVIMS, Tirupati-517501.
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  • References
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A 60year old gentleman, mason by occupation, presented with shortness of breath since 9months, cough since 5months, streaky hemoptysis since 5days. He is a smoker with 20 pack-years. On examination patient is tachypneic and sings of bilateral lung consolidation was present. Chest X-ray showed Non-homogenous opacity in bilateral upper zones and left mid zone and calcified lesions in left para-tracheal location and in right cardio phrenic angle. Sputum for AFB was negative. Spiral CT-chest revealed calcified mediastinallymphnodes and bilateral hilar soft tissue density lesions extending peripherally into posterior segment of upper lobe and superior segment to lower lobe- suggestive of progressive massive fibrosis. In view of occupational history, considered as pneumoconiosis. CT guided lung biopsy of right upper lobe lesion was done and sent for HPE-reported as Tuberculosis. ATT was started under RNTCP along with supportive treatment.


  1. Silicosis ? an uncommonly diagnosed common occupational disease. ICMR Bulletin. September 1999;29(9). Available from: http://icmr.nic.in/busep99.htm [cited 2016 Jun 11].
  2. Hnizdo E, Murray J. Risk of pulmonary tuberculosis relative to silicosis and exposure to silica dust in South African gold miners. Occup Environ Med. 1998 Jul;55(7):496?502. http://dx.doi.org/10.1136/oem.55.7.496 pmid: 9816385
  3. Kulkarni GK. Prevention and control of silicosis: a national challenge. Indian J Occup Environ Med 2007;11(3):95?6. Available from: http://www.ijoem.com/text.asp?2007/11/3/95/38456 [cited 2015 Aug 24].
  4. Cowie RL. The epidemiology of tuberculosis in gold miners with silicosis. Am J RespirCrit Care Med. 1994 Nov;150(5 Pt 1):1460?2. http://dx.doi.org/10.1164/ajrccm.150.5.7952577 pmid: 7952577
  5. Background note. National conference on silicosis, 25 July 2014. New Delhi: National Human Rights Commission; 2014. Available from: http://nhrc.nic.in/Documents/Background%20Note%20on%20Silicosis.pdf [cited 2016 Jun 11].

[S. Anusha Rao. (2019); A CASE OF HEMOPTYSIS DUE TO SILICOTUBERCULOSIS: CASE REPORT. Int. J. of Adv. Res. 7 (May). 1304-1306] (ISSN 2320-5407). www.journalijar.com


S.ANUSHA RAO


DOI:


Article DOI: 10.21474/IJAR01/9165      
DOI URL: https://dx.doi.org/10.21474/IJAR01/9165