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BMJ Case Reports 2009; doi:10.1136/bcr.04.2009.1823
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Chronic pulmonary tuberculosis and anasarca: a classic revisited

  1. Madhav Bansal1,
  2. Kiran Pathak2,
  3. Satish Pathak3,
  4. Arjun Maitra4,
  5. Mahesh Prasad5,
  6. Sanjay Tandon6,
  7. Rakesh Biswas5
  1. 1
    People’s College of Medical Sciences, Community Medicine, Bhanpur Bypass Road, Bhopal, 462037, India
  2. 2
    People’s College of Medical Sciences, Pathology, Bhanpur Bypass Road, Bhopal, 462037, India
  3. 3
    People’s College of Medical Sciences, Radiology, Bhanpur Bypass Road, Bhopal, 462037, India
  4. 4
    People’s College of Medical Sciences, Physiology, Bhanpur Bypass Road, Bhopal, 462037, India
  5. 5
    People’s College of Medical Sciences, Medicine, Bhanpur Bypass Road, Bhopal, 462037, India
  6. 6
    People’s College of Medical Sciences, Chest Medicine and Tuberculosis, Bhanpur Bypass Road, Bhopal, 462037, India
  1. Rakesh Biswas, rakesh7biswas{at}gmail.com
  • Published 10 August 2009

A 30-year-old carpenter presented with a history of generalised swelling of his body, particularly noticeable around the ankles. He had a 10-year history of pulmonary tuberculosis, which had been treated with antitubercular treatment for 6 months.

He had developed cough with fever 1 year previously, and was given antitubercular treatment with a local practitioner after a sputum examination that was found to be positive for acid-fast bacilli (AFB).

He had to stop his treatment after a month so that the money required to buy the medicines could be utilised for his sister, who was also ill. After 2 months of stopping his own antitubercular treatment, due to financial reasons, he decided to try the free supply …

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