Night Sweats for 3 Weeks: The Shocking Diagnosis That Changed Everything for a 41-Year-Old Man

The surgery was performed laparoscopically. A biopsy was performed from the right upper lung. and pleural effusion sent for pathological examination A chronic inflammatory necrotizing granuloma, consistent with tuberculosis, was found. Lung tissue and pleura were sent for culture. No tuberculosis and fungi were found.

Blood and pleural fluid were sent for ANA (antinuclear antibody) testing to diagnose lupus SLE. The results were positive.

Conclusion: This patient has 2 diseases at once:

It is a type of pulmonary tuberculosis that is not resistant to drugs. responds to antituberculosis drugs and later had an autoimmune disease (Pumpuang disease) causing lupus pleurisy. There is fluid in the pleural space. Treat with anti-tuberculosis drugs and Plaquenil to reduce inflammation of your immune system that causes inflammation of the pleura.

I check on October 29th. The patient is much better, no cough, no fatigue, no fever, no chest pain, he has gained weight, x-rays of the lungs are much better (see photo. Tuberculosis medicine will be continued for another 4 months). until the 9 month mark is completed and Plaquenil will be gradually tapered.