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2025, Vol: 2, Issue: 1
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Case Report
Online Published: 25 Jan 2025
 


Atypical presentation of tuberculosis in a 38-year-old daily wage worker: A case report

Khalid Umer Khayyam, Salik Umer Khayyam, Sazina Muzammil, Vinay V, Krishna Mohan.


Abstract
We present a case of pulmonary tuberculosis (PTB) in a 38-year-old male smoker and alcoholic with an atypical and varied presentation. The patient was a daily wage worker who exhibited symptoms of dry cough and dyspnea but lacked the classic features of fever, weight loss, chest pain, and hemoptysis. Chest X-ray revealed non-homogeneous opacities and multiple small cavities in both lungs, initially raising suspicion for community-acquired pneumonia, atypical pneumonia, or polyangiitis. Acid-fast bacilli (AFB) testing and then line probe assay (LPA) ultimately confirmed the diagnosis of Mycobacterium tuberculosis (Mtb), which is sensitive to isoniazid and rifampicin. This case highlights the variable nature of presentation in tuberculosis (TB), the importance of maintaining a broad differential diagnosis even in the absence of typical symptoms, and the importance of microbiological diagnosis for accurate diagnosis. Risk factors of tuberculosis like smoking and alcoholism, should be considered along with the screening of common comorbidities like diabetes.

Key words: atypical presentation; pulmonary tuberculosis; smoking; alcoholism; diabetes, line probe assay.


 
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How to Cite this Article
Pubmed Style

Khayyam KU, Khayyam SU, Muzammil S, V V, Mohan K. Atypical presentation of tuberculosis in a 38-year-old daily wage worker: A case report. Case Rep Ser Med. 2025; 2(1): 9-12. doi:10.5455/CRSM.20241022031853

Web Style

Khayyam KU, Khayyam SU, Muzammil S, V V, Mohan K. Atypical presentation of tuberculosis in a 38-year-old daily wage worker: A case report. https://www.wisdomgale.com/crsm/?mno=302657734 [Access: January 31, 2025]. doi:10.5455/CRSM.20241022031853

AMA (American Medical Association) Style

Khayyam KU, Khayyam SU, Muzammil S, V V, Mohan K. Atypical presentation of tuberculosis in a 38-year-old daily wage worker: A case report. Case Rep Ser Med. 2025; 2(1): 9-12. doi:10.5455/CRSM.20241022031853


Vancouver/ICMJE Style

Khayyam KU, Khayyam SU, Muzammil S, V V, Mohan K. Atypical presentation of tuberculosis in a 38-year-old daily wage worker: A case report. Case Rep Ser Med. (2025), [cited January 31, 2025]; 2(1): 9-12. doi:10.5455/CRSM.20241022031853


Harvard Style

Khayyam, K. U., Khayyam, . S. U., Muzammil, . S., V, . V. & Mohan, . K. (2025) Atypical presentation of tuberculosis in a 38-year-old daily wage worker: A case report. Case Rep Ser Med, 2 (1), 9-12. doi:10.5455/CRSM.20241022031853


Turabian Style

Khayyam, Khalid Umer, Salik Umer Khayyam, Sazina Muzammil, Vinay V, and Krishna Mohan. 2025. Atypical presentation of tuberculosis in a 38-year-old daily wage worker: A case report. Case Reports and Series in Medicine, 2 (1), 9-12. doi:10.5455/CRSM.20241022031853


Chicago Style

Khayyam, Khalid Umer, Salik Umer Khayyam, Sazina Muzammil, Vinay V, and Krishna Mohan. "Atypical presentation of tuberculosis in a 38-year-old daily wage worker: A case report." Case Reports and Series in Medicine 2 (2025), 9-12. doi:10.5455/CRSM.20241022031853


MLA (The Modern Language Association) Style

Khayyam, Khalid Umer, Salik Umer Khayyam, Sazina Muzammil, Vinay V, and Krishna Mohan. "Atypical presentation of tuberculosis in a 38-year-old daily wage worker: A case report." Case Reports and Series in Medicine 2.1 (2025), 9-12. Print. doi:10.5455/CRSM.20241022031853


APA (American Psychological Association) Style

Khayyam, K. U., Khayyam, . S. U., Muzammil, . S., V, . V. & Mohan, . K. (2025) Atypical presentation of tuberculosis in a 38-year-old daily wage worker: A case report. Case Reports and Series in Medicine, 2 (1), 9-12. doi:10.5455/CRSM.20241022031853


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Case Reports and Series in Medicine is a peer-reviewed, open access journal dedicated to publish original case reports and case series in medicine.&n ... Read more.



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