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Journal of Case Reports
Pulmonary Disease Linked to Tuberculosis with Potential Tuberculosis-Associated Interstitial Lung Disease (TILD)
Parthasarathi Bhattacharyya
Consultant, Institute of Pulmocare and Research, Kolkata, DG-8, New Town, Action Area-I, Kolkata 700156, India.
Corresponding Author:
Dr Parthasarathi Bhattacharyya
Email: ipcr_india@yahoo.com

Received: 27-OCT-2023 Accepted: 05-JAN-2024 Published Online: 05-JUN-2024
DOI: http://dx.doi.org/10.17659/01.2024.0013
Background: While varying degree of inflammation and fibrosis can mark a diffuse parenchymal lung disease (DPLD), no causative association has been forwarded between an often diffuse parenchymal infection as tuberculosis and DPLD. However, history of past tuberculosis has not been uncommon in DPLD. Case Report: A 48 years old non-smoker male presented with recently increasing shortness of breath persisting for eight years. He received partial treatment for diagnosis of strongly suspected pulmonary tuberculosis nine years ago. Spirometrically, he showed severe airflow limitation but radiologically he has several changes fitting to DPLD especially in the upper lobes with features of pan-acinar emphysema in lower lobes. There was no etiological clue for the detected DPLD like changes. A diagnosis of combined TOPD (tuberculosis associated obstructive pulmonary diseases) and ILD (interstitial lung disease) has been forwarded. Conclusion: It appears possible that tuberculosis may act as a causative factor for DPLD. This allows one to coin the term TILD (tuberculosis associated ILD). However, more evidence is required to establish this entity. 

Keywords : Chest X-ray, Mycobacterium tuberculosis, Obstructive Lung Diseases, Shortness of Breath, Spirometry.
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