Pulmonary tuberculosis (TB) is serious public health problem in India and worldwide. The mortality
rate in pulmonary TB is high in those with advanced disease and in presence of complications.
It presents with wide variety of complications of which haematological complications are rare.
Many cases were reported pulmonary TB associated with deep venous thrombosis, hepatic and
portal venous thrombosis, central retinal venous thrombosis and sagittal sinus thrombosis in TB
meningitis. We report a rare case of pulmonary TB with pulmonary venous thrombosis and atrial
extension. To our best knowledge, this is the first case reported of its kind.
The approach to clinical conundrums by an expert clinician is revealed through the presentation of an actual patient's case in an approach typical of a morning report. Similarly to patient care, sequential pieces of information are provided to the clinician, who is unfamiliar with the case. The focus is on the thought processes of both the clinical team caring for the patient and the discussant. This icon represents the patient's case. Each paragraph that follows represents the discussant's thoughts.
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