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Post mortem computed tomography (PMCT) guided lung biopsy: A preliminary case report.

D Abdul Hadi¹, C S Mansharan Kaur^1,2,3, O Effat^2,3

¹National Institute of Forensic Medicine (NIFM), Hospital Kuala Lumpur, Malaysia.

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|February 18, 2021

Summary

This case study shows how computed tomography and image-guided biopsy can help diagnose infectious diseases like tuberculosis (TB) in deceased individuals, protecting healthcare workers.

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Area of Science:

Medical Imaging
Infectious Diseases
Forensic Pathology

Background:

Tuberculosis (TB) is a growing infectious disease caused by Mycobacterium tuberculosis.
Healthcare workers in emergency, medical, and autopsy settings face risks of TB exposure.

Observation:

A case of a 42-year-old deceased male with no medical history presented with lung abnormalities on post-mortem CT.
Findings included bilateral upper lobe cavities and lung consolidation, suspicious for pulmonary tuberculosis.

Findings:

Computed tomography (CT) identified characteristic lung lesions suggestive of TB.
CT-guided lung biopsy and autopsy confirmed the diagnosis in a high-risk setting.

Implications:

Cross-sectional imaging, like CT, is crucial for diagnosing infectious diseases in post-mortem examinations.
Image-guided biopsy can aid in confirming diagnoses while minimizing transmission risks to healthcare professionals.