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A 27-year-old man presented with progressive dyspnoea and cough for 1 year. Six months earlier, he was diagnosed and received complete treatment for smear-negative pulmonary tuberculosis (TB) without clinical and radiography improvement. Physical examination revealed right eye uveitis, left cervical lymphadenopathy and minimal crepitation at both basal lungs.
The CT scan showed perilymphatic nodules and reticular infiltrations in both lungs, mainly along with peribronchial distribution, upper lobes predominance, and mediastinal lymphadenopathy involving right paratracheal and both hilar (figure 1) and left kidney stone. The bronchoscope …
Contributors TM: was in charge of the patient, wrote the first draft and submitted the manuscript. MJ: prepared the CT image and report. SS and KB: prepared the pathological image and report. All authors approved the final version.
Funding Medical education centre of Suratthani Hospital, Thailand.
Competing interests None declared.
Patient consent for publication Obtained.
Provenance and peer review Not commissioned; internally peer reviewed.
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