case_images: PMC10507688_01
case_images: Chest imaging of the patient. (A) Computed tomography (CT) 14 days before admission showing an ill-defined nodular opacity in the lower lobe of the right lung. (B) CT 7 days before admission showing increased infiltrates in both lungs. (C) CT on day 3 after admission showing ground-glass opacities in both lungs with increased infiltrates and partial consolidation. (D) Radiography on day 5 after admission showing bilateral diffuse ground-glass changes (opacification and increased lung markings), in keeping with acute respiratory distress syndrome. (E) Radiography on day 8 after admission showing improvement of the ground-glass changes. (F) CT on day 12 after admission showing improvement of the ground-glass opacities and a few scattered nodules.
case_images: fped-11-1189838-g001.jpg
case_images: PMC10507688_01_fped-11-1189838-g001.jpg
case_images: F1
case_images: Chest computed tomography (CT) revealed an ill-defined nodular opacity in the lower lobe of the right lung (Figure 1A). Repeat chest CT showed increased infiltrates in both lungs (Figure 1B). Chest CT revealed ground-glass opacities in both lungs with increased infiltrates and partial consolidation (Figure 1C). Chest x-ray showed bilateral diffuse ground-glass opacities consistent with ARDS (Figure 1D). Repeat chest radiography on day 8 showed improvement in the ground-glass changes (Figure 1E). On day 12, chest CT was repeated, revealing improvement in the ground-glass opacities and a few scattered nodules (Figure 1F).
case_images: Fluorescent staining of a smear of bronchoalveolar lavage fluid showing acid-fast bacilli (white arrow) consistent with Mycobacterium tuberculosis.
case_images: fped-11-1189838-g002.jpg
case_images: PMC10507688_01_fped-11-1189838-g002.jpg
case_images: F2
case_images: Mtb smear (Figure 2) and DNA analysis of the BALF were positive.