Tuberculous or non-tuberculous pneumonia: A case report
More details
Hide details
Department of Family Medicine, School of Medical Sciences, USM Health Campus, Universiti Sains Malaysia, Kubang Kerian, Kelantan, MALAYSIA
Online publication date: 2023-05-13
Publication date: 2023-09-01
Electron J Gen Med 2023;20(5):em507
Tuberculosis (TB) and pneumonia are among the top-10 global causes of death worldwide. Many studies highlight the diagnosis delay of TB in patients with an initial presentation of pneumonia. We present a case of a 16-year-old boy who complains of a productive cough associated with blood-streaked sputum for one-month duration. Having pulmonary tuberculosis (PTB) contact three years ago puts him at risk of a similar infection. Despite the episodes of missed appointments in serial follow-ups, we were ultimately able to exclude PTB in this patient.
Wei M, Zhao Y, Qian Z, et al. Pneumonia caused by mycobacterium tuberculosis. Microbes Infect. 2020;22(6-7):278-84. PMid:32561408 PMCid:PMC7297158.
Iqbal N, Amir Sheikh MD, Jabeen K, Awan S, Irfan M. Allergic bronchopulmonary aspergillosis misdiagnosed as smear negative pulmonary tuberculosis; a retrospective study from Pakistan. Ann Med Surg (Lond). 2021;72:103045. PMid:34815860 PMCid:PMC8591471.
Liam C-K. Community acquired pneumonia--A Malaysian perspective. Med J Malaysia. 2005;60(2):249-65.
Peto L, Nadjm B, Horby P, et al. The bacterial aetiology of adult community-acquired pneumonia in Asia: A systematic review. Trans R Soc Trop Med Hyg. 2014;108(6):326-37. PMid:24781376 PMCid:PMC4023908.
Jurcev-Savicevic A, Mulic R, Kozul K, et al. Health system delay in pulmonary tuberculosis treatment in a country with an intermediate burden of tuberculosis: A cross-sectional study. BMC Public Health. 2013;13:250. PMid:23517315 PMCid:PMC3608169.
Pinto LM, Shah AC, Shah KD, Udwadia ZF. Pulmonary tuberculosis masquerading as community acquired pneumonia. Respir Med CME. 2011;4(3):138-40.
Moreira J, Fochesatto JB, Moreira AL, Pereira M, Porto N, Hochhegger B. Tuberculous pneumonia: A study of 59 microbiologically confirmed cases. J Bras Pneumol. 2011;37(2):232-7. PMid:21537660.
Naderi HR, Sheybani F, Erfani SS, Amiri B, Nooghabi MJ. The mask of acute bacterial pneumonia may disguise the face of tuberculosis. Electronic Physician. 2017;9(3):3943-9. PMid:28461868 PMCid:PMC5407226.
Liam C-K, Pang Y-K, Poosparajah S. Pulmonary tuberculosis presenting as community-acquired pneumonia. Respirology. 2006;11(6):786-92. PMid:17052309.
Stamm DR, Stankewicz HA. Atypical bacterial pneumonia. Treasure Island, FL, USA: StatPearls Publishing; 2022.
Verma D, Bose C, Tufchi N, Pant K, Tripathi V, Thapliyal A. An efficient framework for identification of tuberculosis and pneumonia in chest X-ray images using neural network. Procedia Comput Sci. 2020;171:217-24.
Prina E, Ranzani OT, Torres A. Community-acquired pneumonia. Lancet. 2015;386(9998):1097-108. PMid:26277247.
Teepe J, Little P, Elshof N, et al. Amoxicillin for clinically unsuspected pneumonia in primary care: Subgroup analysis. Eur Respir J. 2016;47(1):327-30. PMid:26541522.
Mills GD, Oehley MR, Arrol B. Effectiveness of beta lactam antibiotics compared with antibiotics active against atypical pathogens in non-severe community acquired pneumonia: Meta-analysis. BMJ. 2005;330(7489):456. PMid:15684024 PMCid:PMC549658.
Cunha BA. Pneumonia in the elderly. Clin Microbiol Infect. 2001;7(11):581-8. PMid:11737082.
Journals System - logo
Scroll to top