Solve exciting clinical cases specific to your field of interest via Docplexus’ clinical case challenge. In today’s ‘Pulmonology Case Challenge’, join your fellow doctors to discuss and answer today’s question which is about ‘TB Diagnosis’ A 42-year-old black consults because of a cough, sputum production, and mild hemoptysis. He has had evening rise of temperature for the past one month and claims to have lost 30 lbs. over a three-month period. On exam, he appeared to be chronically ill and wasted.

Cavernous breath sounds are heard over the right apex. Chest x-ray shows fluffy infiltrates and some amount of contraction of the right upper lobe. There is a cavity in the superior segment of the right upper lobe. A working diagnosis of tuberculosis is made.