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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JCDR Research and Publications Private Limited
2025-01-01
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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. |
format | Article |
id | doaj-art-e2d7934d4183481f8d33c3c634670982 |
institution | Kabale University |
issn | 2249-782X 0973-709X |
language | English |
publishDate | 2025-01-01 |
publisher | JCDR Research and Publications Private Limited |
record_format | Article |
series | Journal of Clinical and Diagnostic Research |
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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