Annals of Thoracic Medicine Official publication of the Saudi Thoracic Society, affiliated to King Saud University
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Year : 2008  |  Volume : 3  |  Issue : 4  |  Page : 158-159
A female with fever and shortness of breath

Department of TB and Respiratory Diseases, JN Medical College, AMU Aligarh - 200 002, UP, India

Date of Submission28-Apr-2008
Date of Acceptance04-Jun-2008

Correspondence Address:
Saurabh K Singh
Department of TB and Respiratory Diseases, J. N. Medical College, AMU Aligarh - 200 002, UP
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/1817-1737.43086

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How to cite this article:
Singh SK, Ahmad Z, Bhargava R, Pandey DK. A female with fever and shortness of breath. Ann Thorac Med 2008;3:158-9

How to cite this URL:
Singh SK, Ahmad Z, Bhargava R, Pandey DK. A female with fever and shortness of breath. Ann Thorac Med [serial online] 2008 [cited 2023 Feb 2];3:158-9. Available from:

A 26-year-old female presented with the complaints of fever and cough of 1 month's duration. For the last 3 days she had also had increased shortness of breath. On examination, her temperature was 101.2F, pulse rate was 96/min, and respiratory rate was 20/min. Her nutritional status was poor and she was anemic. On examination of her chest, crepitus was felt at the root of the neck and over the right anterior chest wall. On auscultation, a crunching sound was heard over the precordium, which was synchronous with the heart sounds. Fundus examination showed miliary tubercles. Blood investigations were unremarkable, except for hemoglobin of 8 g/dL. A chest X-ray, PA view, was obtained and is shown in [Figure 1].

   Questions Top

  1. What is the radiological finding?
  2. How common are miliary tubercles in the fundus in such cases?
  3. Explain the mechanism of this complication.

Click here to view answer. View Answer

   References Top

1.Sharma SK, Mohan A, Prasad KL, Pande JN, Gupta AK, Khilaani GC. Clinical profile, laboratory characteristics and outcome in miliary tuberculosis. QJM 1995;88:29-37.  Back to cited text no. 1    
2.Mediastinal diseases. In: Fraser RS, Colman N, Muller NL, Pare PD, editors. Synopsis of Diseases of the chest. 3 rd ed. Philadelphia: Elsevier Science; 2005. p. 848-56.  Back to cited text no. 2    
3.Damore DT, Dayan PS. Medical causes of pneumomediastinum in children. Clin Pediatr (Phila) 2001;40:87-91.  Back to cited text no. 3  [PUBMED]  [FULLTEXT]
4.Dasgupta U. Subcutaneous emphysema and pneumomediastinum complicating miliary tuberculosis: A case report. Indian J Tuberculosis 1991;38:231.  Back to cited text no. 4    
5.Mert A, Bilir M, Akman C, Ozaras R, Tabak F, Ozturk R, et al . Spontaneous pneumothorax: A rare complication of military tuberculosis. Ann Thorac Cardiovasc Surg 2001;7:45-8.  Back to cited text no. 5  [PUBMED]  


  [Figure 1]


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