Navigating Complex Pulmonary Hypertension: A Case of Post-tubercular Lung Disease and Atrial Septal Defect

Abstract

Authors present a case involving a 47-year-old male farmer who sought medical attention at the Outpatient Department (OPD) due to a persistent cough and progressive dyspnoea over the past year. Additionally, he reported experiencing intermittent low-grade fever for the last 10 days, managed with 500 mg of paracetamol prescribed by a local doctor. The patient had a history of being diagnosed with drug-sensitive, sputum-positive pulmonary tuberculosis four years ago and had undergone treatment with HRZE (Isoniazid-300 mg, Rifampicin-450 mg, Pyrazinamide-1500 mg, Ethambutol-1200 mg) for a duration of six months.

Keywords

• bronchiectasis
• mean pulmonary artery pressure
• ostium secondum