Based on the CT report, patient has already had a TB infection in the past. Did he receive any Anti Tb drugs for the same in the past? Second line drugs cannot be started for TB empirically unless some definite evidence of TB is present. Kindly ask the patient to undergo bronchoscopy procedure which may give you a diagnosis. The fluid has to be sent for a test called Gene X pert for MTB , Tb culture, bacterial culture and also AFB staining. Tb can be life threatening if not treated at the earliest. Hope you find this information useful
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Bronchoscopy and BAL
Answered2019-02-13 11:19:51
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