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Lung India Official publication of Indian Chest Society  
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Year : 2018  |  Volume : 35  |  Issue : 6  |  Page : 508-510

Pulmonary tuberculosis presenting as diffuse alveolar hemorrhage: Believe it or not

1 Department of Pulmonary Medicine, AIIMS, Bhopal, Madhya Pradesh, India
2 Department of Critical Care, AIIMS, Bhopal, Madhya Pradesh, India
3 Department of Pathology and Lab Medicine, AIIMS, Bhopal, Madhya Pradesh, India

Correspondence Address:
Dr. Alkesh Kumar Khurana
Department of Pulmonary Medicine, AIIMS, Bhopal, Madhya Pradesh
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/lungindia.lungindia_203_17

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Diffuse alveolar hemorrhage (DAH) has been rarely reported with pulmonary infections and even rarer with pulmonary tuberculosis (PTB). We hereby report the case of a 31-year-old male, a known case of ankylosing spondylitis, who presented with clinical and radiological features consistent with DAH. Initial partial improvement with steroids was followed by a microbiological diagnosis of tuberculosis (TB). Starting of antituberculous treatment was followed by complete clinical improvement. This leads to a thought-provoking possible association between the two pathologies, DAH and PTB, if any.

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