Navi Mumbai docs give new lease of life to woman suffering from tuberculosis

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Doctors in Navi Mumbai have successfully treated a 47-year-old woman suffering from pulmonary tuberculosis and acute kidney injury to give her a new lease of life.

The multidisciplinary team involving Dr Manish Pendse, General Physician, Dr Jaspreet Singh, Pulmonologist, and Dr Ram Khare, Laparoscopic and Robotic Surgeon, at NewEra Hospital in Vashi, treated the woman, who was suffering from a constant cough, breathlessness, fever, weakness, and loss of appetite for about two weeks. 

With timely treatment and close monitoring, the patient’s condition improved. Moreover, she has now resumed her daily routine without any problem.
 
The woman, a resident of Kharghar, experienced cough, breathlessness, fever, weakness, and loss of appetite for over two weeks. Later, she couldn’t do her daily activities with ease as her condition worsened. She consulted many doctors, but her condition didn’t improve. The woman visited the hospital on February 27, and was admitted under Dr Pendse. 

The initial investigations done for the patient showed a low platelet count, compromised kidney function, and even signs of infection. She then underwent an HRCT scan that also confirmed lung involvement along with multiple enlarged lymph nodes in the chest and neck, raising the chances of tuberculosis.
 
Dr Pendse, said, “The patient presented with symptoms that can be dismissed as common infections. Her reports indicated infection along with kidney stress and enlarged lymph nodes, which raised suspicion of tuberculosis. In certain cases, the TB infection can put pressure on the kidneys and impact their function. Timely evaluation helps to take critical steps to stabilise her condition and proceed with further diagnosis.”
 
After evaluation, the patient was advised bronchoscopy. Dr Singh, said, “On February 28, 2026, the bronchoscopy was done to examine her airways.  Moreover,  samples were also collected from her lungs.  So, a bronchoscopy is a simple procedure wherein a thin, flexible camera tube is passed via the nose to be able to collect secretions from the patient’s lower airways. The procedure took around 7–10 minutes, with some additional time for preparation and recovery, and is done under local anaesthesia. The samples were then tested to confirm the diagnosis. Since tuberculosis can be difficult to detect early, such tests are crucial to start treatment at the right time. Since tuberculosis can sometimes affect multiple organs or lead to complications like kidney dysfunction, early and accurate diagnosis becomes very important to guide the right treatment and prevent further complications.”
 
Further evaluation using PET-CT confirmed lymph node involvement, and a surgical biopsy was performed. Dr Khare explained, “This patient’s supraclavicular lymph node was enlarged, so a surgical excision biopsy was performed to confirm the diagnosis and rule out other serious conditions. Hence, on March 2, a Right Supraclavicular Lymph Node Excision was done under sedation. The procedure was uneventful, and the patient was stable after the surgery. Such biopsies are important when imaging findings tend to remain unclear, as they help guide the correct treatment plan for the patient.
 
Dr Singh underscored, “The diagnosis was confirmed through Gene-Xpert testing, and then Anti-Koch’s Therapy (AKT) was started on March 4, for the duration of six months.” The patient also had acute kidney injury, which demanded careful management along with TB treatment. We managed her condition with the help of various strategies such as controlling fluid intake, supportive medication, and even close monitoring of kidney function. With timely care, her kidney parameters slowly improved. So, proper diet, hydration balance, and regular follow-up helped the patient recover.”
 
The city-based expert added, “Following treatment, the patient showed steady improvement. Her fever subsided, breathing improved, appetite returned, and strength increased. The surgical wound healed well, and her weight stabilised at 65 kg at the time of discharge. She was discharged in a stable condition with advice to continue medication and follow up after 10 days. Early diagnosis and prompt treatment are critical in such cases, especially when tuberculosis is associated with complications like kidney injury.”
 
The woman shared, “ I was very worried as my symptoms were not improving and I felt extremely weak. The doctors explained everything clearly and supported me throughout the treatment. Then, slowly, I started feeling better, and I am thankful to the entire team for their timely care.”

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