Joe Thomas
35 year old Indian male presented with 3 months history of productive cough, low grade fever, weight loss, night sweats and joint pain. On examination patient was febrile and emaciated. He had swelling and tenderness in bilateral midfoot region and right knee. Chest examination revealed crackles in bilateral lung apex and left lung base. His investigation showed elevated acute phase reactants, sputum sample for Acid Fast Bacilli (AFB) was positive.
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