Tuberculous vasculitic lung mass: Unique presentation of a common disease

Indian J Tuberc. 2020 Oct;67(4):571-574. doi: 10.1016/j.ijtb.2020.07.022. Epub 2020 Jul 28.

Abstract

Tuberculosis is a common disease but it keeps on surprising with its unique presentations. It has been reported as lung mass but here we are reporting a case of Tuberculosis presented as vasculitic lung mass. A 61 years old female, known case of hypertension and secondary Sjogren syndrome, on treatment, presented with history of mild dyspnea and generalised weakness with incidental finding of Right hilar mass on chest X-ray undergoes a CECT thorax and CT guided biopsy. Histopathology contrary to expectations revealed granulomatous vasculitis with no microbiological evidence of TB, responded to antitubercular treatment and there was almost complete regression of the lesion after 6 weeks of ATT.

Keywords: Lung mass; Sjogren syndrome; Tuberculosis; Vasculitis.

Publication types

  • Case Reports

MeSH terms

  • Antitubercular Agents / administration & dosage*
  • Diagnosis, Differential
  • Duration of Therapy
  • Dyspnea / diagnosis
  • Dyspnea / etiology
  • Female
  • Humans
  • Image-Guided Biopsy / methods
  • Mediastinal Neoplasms* / diagnostic imaging
  • Mediastinal Neoplasms* / pathology
  • Middle Aged
  • Muscle Weakness / diagnosis
  • Muscle Weakness / etiology
  • Tomography, X-Ray Computed / methods
  • Treatment Outcome
  • Tuberculosis, Lymph Node* / diagnostic imaging
  • Tuberculosis, Lymph Node* / drug therapy
  • Vascular Neoplasms / diagnosis*
  • Vasculitis / diagnosis*

Substances

  • Antitubercular Agents