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Imaging Features of Systemic Sclerosis-Associated Interstitial Lung Disease
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Interstitial Lung Diseases Misdiagnosed as Tuberculosis
Nousheen Akhter1, Nadeem Ahmed Rizvi2
1Dr. Nousheen Akhter, FCPS Trainee. Department of Chest Medicine, Jinnah Postgraduate Medical Centre, Karachi, Pakistan.
Pakistan Journal of Medical Sciences
|May 29, 2018
Summary
Many interstitial lung disease patients are misdiagnosed with tuberculosis, leading to unnecessary anti-tuberculosis drug treatment. Early referral and physician education are crucial, especially in high tuberculosis burden regions.
Area of Science:
- Pulmonology
- Infectious Diseases
- Radiology
Background:
- Interstitial lung diseases (ILDs) are often misdiagnosed.
- Tuberculosis (TB) is frequently confused with ILDs.
Purpose of the Study:
- To determine the frequency of tuberculosis misdiagnosis in patients with interstitial lung disease.
Main Methods:
- Prospective study of 73 patients at an ILD clinic.
- TB diagnosis confirmed by bacteriological evidence or symptom improvement post-treatment.
Main Results:
- 38.35% of ILD patients had prior TB treatment.
- Most patients diagnosed with ILD were misdiagnosed with TB, except for two silicosis cases with confirmed TB.
Conclusions:
- ILDs are frequently unrecognized and misdiagnosed, often confused with TB.
- Physician education on ILDs is vital in high TB burden countries to prevent unnecessary anti-TB drug use and ensure timely ILD referral.
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