A Crucial Aftershock in Pulmonary Tuberculosis Survivors: A Case Report

Pulmonary tuberculosis is widely prevalent, and the survivors of this disease often present to healthcare facilities with long-term sequelae of the disease. Presented here is a case of a 25-year-old male who presented with concerns of fever, cough with expectoration, and blood in sputum. The patient was managed as per protocol in suspicion of necrotizing pneumonia and re-activation of tuberculosis (TB) as suggested by investigations. The hemoptysis gradually increased over time. With suspicion of a vascular aneurysm and in view of increasing hemoptysis, an early high-resolution computed tomography (HRCT) scan of the chest and a computed tomography (CT) scan of the bronchial angiography were performed. A diagnosis of Rasmussen's aneurysm was made radiologically, and this rare and under-reported sequelae of TB in contemporary times was brought into notice. A holistic and multi-disciplinary approach involving emergency medicine physicians, internists, anesthesiologists, critical care physicians, pulmonologists, and radiologists can ensure optimal outcomes for such cases in hospital setups if timely intervened.