Fig. 14
Tubercular Infection (followed by polymicrobial infection). CXR in a 4-year-old female child, with complaints of chest pain, cough & low-grade fever for 2 weeks, shows left pleural effusion (arrow, A). Pleural tap was done and it revealed significantly raised LDH. However, no microorganism could be isolated. ATT was started and patient responded over a period of 4 months B). Later, she developed focal consolidation in right upper zone (arrow, C). CD4 count was 280 cells/mm3. BAL specimen isolated Pseudomonas and pneumococcus was isolated in sputum. She was given a course of antibiotics and her clinico-radiological profile improved (D) over a period of 4 weeks