Subject(s)
Tuberculosis , Antitubercular Agents/therapeutic use , Child , Humans , Tuberculosis/drug therapySubject(s)
COVID-19 , Adrenal Cortex Hormones , Dexamethasone , Duration of Therapy , Humans , SARS-CoV-2ABSTRACT
Cutaneous lesions are relatively uncommon manifestations of tuberculosis (TB). A 40-year-old female presented with skin lesion over the forehead since two months. She used to apply bindi over the same area since past 25 years. Based on skin biopsy and other ancillary investigations, she was diagnosed as a case of lupus vulgaris and initiated on anti TB medications following which, the lesion regressed. Thus, we herein report the first case of cutaneous tuberculosis (lupus vulgaris) associated with long term use of bindi.
ABSTRACT
A significantly strengthened Revised National Tuberculosis Control Programme (RNTCP) is currently operational in India. In this case-based commentary, we describe the plight of a patient who developed extensive drug-resistant tuberculosis (XDR-TB) despite having received treatment under the RNTCP for a long period. Our aim is to analyse the programmatic management of tuberculosis in India by highlighting and discussing various issues related to the treatment received by the patient. Further, the article explores whether there is a need to incorporate an ethical element into the RNTCP as it stands today.
Subject(s)
Antitubercular Agents/therapeutic use , Delivery of Health Care/standards , Drug Resistance , Extensively Drug-Resistant Tuberculosis , Medical Errors , Public Health Practice/standards , Tuberculosis/drug therapy , Adult , Delayed Diagnosis/adverse effects , Delivery of Health Care/ethics , Disease Management , Extensively Drug-Resistant Tuberculosis/diagnosis , Extensively Drug-Resistant Tuberculosis/drug therapy , Extensively Drug-Resistant Tuberculosis/etiology , Female , Health Services Needs and Demand , Humans , India , Public Health Practice/ethics , Treatment Outcome , Young AdultABSTRACT
A fifty year old female presented with cough, breathlessness and chest pain of eighteen months duration. She presented as a case of a non-resolving consolidation. Video bronchoscopy revealed a bronchial foreign body. This case is being reported here, to underline the role of bronchoscopy in a case of a non resolving consolidation.
