open access

Vol 86, No 3 (2018)
CASE REPORTS
Published online: 2018-06-30
Submitted: 2018-02-20
Accepted: 2018-05-16
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Pulmonary tuberculosis in a male with silicosis

Marcin Skowroński, Anna Halicka, Aleksander Barinow-Wojewódzki
DOI: 10.5603/ARM.2018.0019
·
Adv Respir Med 2018;86(3):121-125.

open access

Vol 86, No 3 (2018)
CASE REPORTS
Published online: 2018-06-30
Submitted: 2018-02-20
Accepted: 2018-05-16

Abstract

Silicosis, a preventable occupational lung disease, is associated with various diseases, including tuberculosis (TB). There is an increased lifelong risk for lung tuberculosis even if exposure to silica dust ceases. That association contributes in a large extent to very high rates of tuberculosis in countries with poor TB and silica exposure control. We report a case of a male with a prior diagnosis of silicosis who was diagnosed with and treated for TB. Anti-tuberculous treatment was extended due to a positive sputum smear in the six th month of treatment. However, the culture of the sputum was negative. This case report highlights the value of thorough screening for tuberculosis in silicotic patients. The clinical management of these patients may be challenging due to frequent overlapping radiological features and uncertain results of TB treatment.

Abstract

Silicosis, a preventable occupational lung disease, is associated with various diseases, including tuberculosis (TB). There is an increased lifelong risk for lung tuberculosis even if exposure to silica dust ceases. That association contributes in a large extent to very high rates of tuberculosis in countries with poor TB and silica exposure control. We report a case of a male with a prior diagnosis of silicosis who was diagnosed with and treated for TB. Anti-tuberculous treatment was extended due to a positive sputum smear in the six th month of treatment. However, the culture of the sputum was negative. This case report highlights the value of thorough screening for tuberculosis in silicotic patients. The clinical management of these patients may be challenging due to frequent overlapping radiological features and uncertain results of TB treatment.

Get Citation

Keywords

tuberculosis, silicosis, exposure, occupational, dust

About this article
Title

Pulmonary tuberculosis in a male with silicosis

Journal

Advances in Respiratory Medicine

Issue

Vol 86, No 3 (2018)

Pages

121-125

Published online

2018-06-30

DOI

10.5603/ARM.2018.0019

Bibliographic record

Adv Respir Med 2018;86(3):121-125.

Keywords

tuberculosis
silicosis
exposure
occupational
dust

Authors

Marcin Skowroński
Anna Halicka
Aleksander Barinow-Wojewódzki

References (18)
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