https://doi.org/10.4081/cdr.12.12637

Crazy nodules in a hazy field: miliary tuberculosis presenting with ground glass opacities in a diagnosed case of Henoch–Schönlein purpura

Vol. 12 (2024): Early Access
Submitted: 6 May 2024
Accepted: 26 June 2024
Published: 21 August 2024
Miliary tuberculosis, ground glass opacities, Henoch–Schönlein purpura, atypical radiology
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Authors

Dhilnaz A. S.
dilz.saj@gmail.com
https://orcid.org/0009-0005-0032-1474
Department of Pulmonary, Critical Care and Sleep Medicine, Government Medical College and Hospital, Chandigarh, India.
Komaldeep Kaur
Department of Pulmonary, Critical Care and Sleep Medicine, Government Medical College and Hospital, Chandigarh, India.
Aamir Shokat
Department of Pulmonary, Critical Care and Sleep Medicine, Government Medical College and Hospital, Chandigarh, India.
Mandeep Kaur Sodhi
Department of Pulmonary, Critical Care and Sleep Medicine, Government Medical College and Hospital, Chandigarh, India.
Sakshi Boora
Department of Pulmonary, Critical Care and Sleep Medicine, Government Medical College and Hospital, Chandigarh, India.
Chahat Bhatia
Department of Pulmonary, Critical Care and Sleep Medicine, Government Medical College and Hospital, Chandigarh, India.
Varinder Saini
Department of Pulmonary, Critical Care and Sleep Medicine, Government Medical College and Hospital, Chandigarh, India.

Tuberculosis is known for its atypical manifestations among the immunosuppressed. In this case report, we describe a rare radiological presentation of tuberculosis in a patient on treatment with steroids for Henoch–Schönlein Purpura (HSP). The patient presented with complaints of fever, dry cough, and breathlessness. Chest imaging revealed diffuse ground glass opacity in bilateral lung fields with innumerable random nodules and mediastinal lymphadenopathy. Fundus examination revealed choroid tubercles and was diagnosed as miliary tuberculosis. The patient was started on anti-tubercular therapy and the patient improved symptomatically. This case report necessitates clinicians to keep an eye open for the atypical manifestations of tuberculosis.

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How to Cite

A. S., D., Kaur, K., Shokat, A., Kaur Sodhi, M., Boora, S., Bhatia, C., & Saini, V. (2024). Crazy nodules in a hazy field: miliary tuberculosis presenting with ground glass opacities in a diagnosed case of Henoch–Schönlein purpura. Chest Disease Reports, 12(1). https://doi.org/10.4081/cdr.12.12637
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