Non Tuberculous Mycobacterium Infection with Cavernolith: A Rare Case Report

Cavernolithiasis is defined as a calcified focus found inside a lung cavity. The patient can remain asymptomatic or exhibit non specific symptoms such as haemoptysis and recurrent chest infections. Its diagnosis poses a challenge to clinicians worldwide, making it a topic of interest. A collection o...

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Main Authors: Anjana Ledwani, Babaji Ghewade, Vivek Alone, Ashwin Karnan
Format: Article
Language:English
Published: JCDR Research and Publications Private Limited 2025-01-01
Series:Journal of Clinical and Diagnostic Research
Subjects:
Online Access:https://www.jcdr.net/articles/PDF/20470/74246_CE[Ra1]_F(SHU)_QC(PS_OM)_PF1(VD_SS_IS)_redo_PFA(NC)_PN(IS).pdf
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author Anjana Ledwani
Babaji Ghewade
Vivek Alone
Ashwin Karnan
author_facet Anjana Ledwani
Babaji Ghewade
Vivek Alone
Ashwin Karnan
author_sort Anjana Ledwani
collection DOAJ
description Cavernolithiasis is defined as a calcified focus found inside a lung cavity. The patient can remain asymptomatic or exhibit non specific symptoms such as haemoptysis and recurrent chest infections. Its diagnosis poses a challenge to clinicians worldwide, making it a topic of interest. A collection of more than 190 various mycobacteria that cause infections in different body organs, especially the lungs, is collectively referred to as Non Tuberculous Mycobacteria (NTM). Hereby, authors report a rare case of cavernolithiasis in a 35-year-old-female patient with an NTM infection who was previously diagnosed and treated for Pulmonary Tuberculosis (PTB). This patient’s sputum was positive for Acid-fast Bacilli (AFB), and sputum culture showed growth of NTM species. High-resolution Computed Tomography (CT) of the thorax revealed bilateral cavitary lesions with the presence of calcified material inside the cavities. She did not require any surgical intervention and was managed conservatively. NTM infection poses a diagnostic challenge, making treatment milestones very difficult due to the complex treatment regimen involving multiple drugs administered for a prolonged period. Therefore, appropriate measures such as cessation of substance abuse, pulmonary hygiene, a nutritional diet, adherence to treatment, and regular follow-up must be taken to improve the quality of life.
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spelling doaj-art-e2d7934d4183481f8d33c3c6346709822025-01-13T11:40:56ZengJCDR Research and Publications Private LimitedJournal of Clinical and Diagnostic Research2249-782X0973-709X2025-01-011901070910.7860/JCDR/2025/74246.20470Non Tuberculous Mycobacterium Infection with Cavernolith: A Rare Case ReportAnjana Ledwani0Babaji Ghewade1Vivek Alone2Ashwin Karnan3Resident, Department of Respiratory Medicine, Datta Meghe Institute of Higher Education and Research, Sawangi Meghe, Wardha, Maharashtra, India.Professor and Head, Department of Respiratory Medicine, Datta Meghe Institute of Higher Education and Research, Sawangi Meghe, Wardha, Maharashtra, India.Assistant Professor, Department of Respiratory Medicine, Datta Meghe Institute of Higher Education and Research, Sawangi Meghe, Wardha, Maharashtra, India.Resident, Department of Respiratory Medicine, Datta Meghe Institute of Higher Education and Research, Sawangi Meghe, Wardha, Maharashtra, India.Cavernolithiasis is defined as a calcified focus found inside a lung cavity. The patient can remain asymptomatic or exhibit non specific symptoms such as haemoptysis and recurrent chest infections. Its diagnosis poses a challenge to clinicians worldwide, making it a topic of interest. A collection of more than 190 various mycobacteria that cause infections in different body organs, especially the lungs, is collectively referred to as Non Tuberculous Mycobacteria (NTM). Hereby, authors report a rare case of cavernolithiasis in a 35-year-old-female patient with an NTM infection who was previously diagnosed and treated for Pulmonary Tuberculosis (PTB). This patient’s sputum was positive for Acid-fast Bacilli (AFB), and sputum culture showed growth of NTM species. High-resolution Computed Tomography (CT) of the thorax revealed bilateral cavitary lesions with the presence of calcified material inside the cavities. She did not require any surgical intervention and was managed conservatively. NTM infection poses a diagnostic challenge, making treatment milestones very difficult due to the complex treatment regimen involving multiple drugs administered for a prolonged period. Therefore, appropriate measures such as cessation of substance abuse, pulmonary hygiene, a nutritional diet, adherence to treatment, and regular follow-up must be taken to improve the quality of life.https://www.jcdr.net/articles/PDF/20470/74246_CE[Ra1]_F(SHU)_QC(PS_OM)_PF1(VD_SS_IS)_redo_PFA(NC)_PN(IS).pdfacid fast bacillibroncholithlithoptysispulmonary cavitytuberculosis
spellingShingle Anjana Ledwani
Babaji Ghewade
Vivek Alone
Ashwin Karnan
Non Tuberculous Mycobacterium Infection with Cavernolith: A Rare Case Report
Journal of Clinical and Diagnostic Research
acid fast bacilli
broncholith
lithoptysis
pulmonary cavity
tuberculosis
title Non Tuberculous Mycobacterium Infection with Cavernolith: A Rare Case Report
title_full Non Tuberculous Mycobacterium Infection with Cavernolith: A Rare Case Report
title_fullStr Non Tuberculous Mycobacterium Infection with Cavernolith: A Rare Case Report
title_full_unstemmed Non Tuberculous Mycobacterium Infection with Cavernolith: A Rare Case Report
title_short Non Tuberculous Mycobacterium Infection with Cavernolith: A Rare Case Report
title_sort non tuberculous mycobacterium infection with cavernolith a rare case report
topic acid fast bacilli
broncholith
lithoptysis
pulmonary cavity
tuberculosis
url https://www.jcdr.net/articles/PDF/20470/74246_CE[Ra1]_F(SHU)_QC(PS_OM)_PF1(VD_SS_IS)_redo_PFA(NC)_PN(IS).pdf
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AT babajighewade nontuberculousmycobacteriuminfectionwithcavernolithararecasereport
AT vivekalone nontuberculousmycobacteriuminfectionwithcavernolithararecasereport
AT ashwinkarnan nontuberculousmycobacteriuminfectionwithcavernolithararecasereport