Today I saw a patient with no hx of illness who presented with a chest x-ray showing bilateral apical nodules as well as pleural thickening. The reading also specified “R/O Active TB”. The patient is from Nicaragua and has the TB vaccine as well so he does hve a positive PPD ~20mm. He denies cough, fever/chills or recent weight loss.
I placed him on respiratory isolation and started collecting sputum samples. Cultures can take 8 weeks. I started him on 4 drug treatment just in case.
Today he is on day 5 of treatment and is tolerating them well. He is still asymptomatic.
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