COVID-19 at First Glance, Pulmonary Tuberculosis With a Glance in Depth

Abstract

Introduction: Here we report a case who presented with fever, dry cough, sore throat and myalgia, mimicking COVID-19 and diagnosed as Pulmonary Tuberculosis. Case Report: A 31-year-old female patient was presented to the COVID-19 outpatient clinic with 7-day history of fever,dry cough,night sweats,chills,sore throat,and myalgia. Laboratory results revealed lymphopenia, C-reactive protein, erythrocyte sedimentation rate and D-dimer elevation compitable with COVID-19. She was hospitalized with diagnosis of “probable COVID-19”. SARS-CoV-2 multiplex PCR were resulted negative. Chest CT revealed cavitary lesion located in the upper lobe of the right lung with uncertain borders, consolidation in the right upper lobe primarily in favor of TB infection. She had three samples of sputum acid-fast bacillus smear that came back positive. TB PCR also resulted positive. Conclusion: Although the most common presentation of COVID-19 seems to be pneumonia, there is no unique clinical feature that reliably differentiates COVID-19 from other upper / lower airway viral or bacterial infections.

Keywords

• Pulmonary Tuberculosis
• COVID-19
• SARS-CoV-2

İlk Bakışta COVID-19, dikkatli bakınca Pulmoner Tüberküloz

Abstract

Giriş: Bu olgu sunumunda COVID-19'u taklit ederek ateş, kuru öksürük, boğaz ağrısı ve myalji ile başvuran ve Akciğer Tüberkülozu tanısı alan bir hasta sunulmuştur. Olgu Sunumu: 31 yaşında kadın hasta 7 gündür olan ateş, kuru öksürük, gece terlemesi, titreme, boğaz ağrısı ve kas ağrısı ile COVID-19 polikliniğine başvurdu. Laboratuvar sonuçlarında COVID-19 ile uyumlu şekilde lenfopeni, C-reaktif protein, sedimantasyon hızı ve D-dimer yüksekliği saptandı. Hasta “Olası COVID-19” tanısı ile hastaneye yatırıldı. SARS-CoV-2 PCR testi negatif sonuçlandı. Toraks BT'sinde, sağ akciğerin üst lobunda belirsiz sınırları olan kaviter lezyon, sağ üst lobda konsolidasyon saptanmış olup öncelikle Tüberküloz enfeksiyonu lehine değerlendirildi. Balgam yaymasında ARB pozitif saptandı. Balgam TB PCR pozitif sonuçlandı. Sonuç: COVID-19 en sık pnömoni kliniği şeklinde görülse de, COVID-19’u diğer üst/alt solunum yolu viral veya bakteriyel enfeksiyonlarından güvenilir bir şekilde ayıran benzersiz bir klinik özellik yoktur.

Keywords

• COVID-19
• COVID-19
• COVID-19
• COVID-19
• SARS-CoV-2
• SARS-CoV-2
• SARS-CoV-2
• Akciğer Tüberkülozu

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