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Hindi Facing Dual Dilemma: The Intersection of Pulmonary Tuberculosis and Pulmonary Embolism
*Corresponding Author: Nidha Shapoo, Department of Medicine, New York Medical College/Metropolitan Hospital, New York, United States of America, Email: shapoon@nychhc.orgReceived Date: Nov 26, 2024 / Published Date: Dec 26, 2024
Citation: Shapoo N, Rivero MA, Boma N (2024) Facing Dual Dilemma: The Intersection of Pulmonary Tuberculosis and Pulmonary Embolism. J Infect Dis Ther S4:003.DOI: 10.4172/2332-0877.24.S4.003
Copyright: © 2024 Shapoo N, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
| Peer-reviewed Full Article 
Abstract
Tuberculosis (TB) incidence has increased in the United States of America (USA) recently due to an increase in migration post COVID pandemic. Tuberculosis is considered a hyper-coagulable state increasing the incidence of both venous and arterial thrombo-embolism. However, pulmonary embolism has not been studied well in patients with pulmonary tuberculosis. Herein we report the case of a 25-year old immigrant male who presented with a onemonth history of fever, myalgias, productive cough and pleuritic chest pain. The patient was diagnosed with pulmonary tuberculosis and started on anti-tubercular therapy. Due to the persistence of hypoxia and worsening of chest pain, computerized tomography pulmonary angiogram was done which showed bilateral acute pulmonary embolism. Patient was started on apixaban with a favorable response and improvement in the clinical symptoms. Due to a high mortality associated with pulmonary embolism, this case shows the importance of early recognition of pulmonary embolism in a patient with pulmonary tuberculosis with worsening symptoms despite treatment.
