Kharghar Woman Recovers From TB After Multidisciplinary Treatment

A 47-year-old woman from Kharghar, Navi Mumbai, was diagnosed with pulmonary tuberculosis and acute kidney injury after suffering from persistent fever, cough, breathlessness, weakness, and loss of appetite for over two weeks. Despite consulting multiple doctors, her condition continued to worsen, prompting her admission to a Navi Mumbai hospital on February 27.

Initial investigations revealed a low platelet count, compromised kidney function, and signs of infection. An HRCT scan showed lung involvement along with multiple enlarged lymph nodes in the chest and neck, raising suspicion of tuberculosis. Dr Manish Pendse, General Physician from NewEra Hospital in Vashi, stated that timely evaluation was crucial to stabilize her condition and proceed with further diagnosis.

The patient underwent bronchoscopy on February 28, during which samples were collected from her lower airways for testing. Further evaluation through PET-CT confirmed lymph node involvement. Doctors then performed a right supraclavicular lymph node excision biopsy on March 2 to confirm the diagnosis and rule out other serious conditions. Dr Ram Khare, Laparoscopic and Robotic Surgeon, emphasized the importance of such biopsies when imaging findings are unclear.

GeneXpert testing subsequently confirmed tuberculosis, following which Anti-Koch’s Therapy was started on March 4 for six months. Simultaneously, the patient’s acute kidney injury was managed through controlled fluid intake, supportive medication, and close monitoring of kidney function. Her kidney parameters gradually improved with treatment, and her fever subsided, breathing improved, appetite returned, and her strength increased.

The patient was discharged in stable condition at a weight of 65 kg and was advised to continue medication and return for follow-up after 10 days. Dr Jaspreet Singh, Pulmonologist, highlighted the importance of early diagnosis and prompt treatment, particularly when tuberculosis is associated with complications such as kidney injury.

The case underscores the need for timely medical intervention and multidisciplinary treatment in cases of tuberculosis, especially when accompanied by other complications. It also emphasizes the importance of seeking medical attention if symptoms persist or worsen over time.

In Navi Mumbai, tuberculosis cases are not uncommon, and it is essential for residents to be aware of the symptoms and seek medical help promptly. The city's healthcare infrastructure has been strengthened in recent years, with many hospitals and medical facilities equipped to handle complex cases like this one.

The patient's recovery is a testament to the effectiveness of timely diagnosis and treatment. It also highlights the importance of a multidisciplinary approach to healthcare, where doctors from different specialties work together to provide comprehensive care to patients.

As the patient resumes her daily routine, it is essential for her to continue her medication and follow-up with her doctors to ensure a full recovery. The case serves as a reminder of the importance of seeking medical attention if symptoms persist or worsen over time, and the need for timely intervention in cases of tuberculosis and other serious health conditions.

In conclusion, the recovery of the 47-year-old woman from Kharghar is a positive outcome, and it highlights the importance of timely diagnosis, multidisciplinary treatment, and comprehensive care in cases of tuberculosis and other serious health conditions.