Dr. Manoon Leechawengwong, a specialist in respiratory diseases, critically ill patients and the elderly Wichaiyut Hospital And the president of the Thai Medical Fungus Club posted through the page of Dr. Manoon Lee Chawengwong FC, stating that…
COVID-19 patients Some people have one more respiratory infection at the same time.
A 75-year-old male patient is in good health. No underlying disease, no medication, received 2 AstraZeneca vaccines and 1 Pfizer booster.
On March 19, 2022, he had a low-grade fever, cough, white sputum, no loss of appetite, no weight loss. ATK test at home on March 20, positive. Went to a hospital near my home for RT-PCR testing, confirmed she was infected with the COVID-19 virus. There, favipiravir was given for 10 days, continued coughing and sputum, a nearby hospital advised to find a respiratory specialist.
On March 30, 2022, physical examination, no fever, normal lung listening, normal fingertip oxygen level. X-ray of the lungs with white patches in the upper left lung and lower right lung (see picture), similar to tuberculosis. Sputum smear test for tuberculosis, positive results, confirmed by PCR, rifampicin-resistant TB. Send TB culture sputum and check for TB susceptibility to drugs.
Started to treat tuberculosis 4 times in a row. After 1 week of taking TB medicine, cough symptoms improved. Continue to give medicine to treat tuberculosis. Waiting for the culture results and the susceptibility of the organisms to tuberculosis drugs.
This patient probably had tuberculosis without his knowledge. have a family history of tuberculosis Pulmonary tuberculosis detected after COVID-19 infection