What is the prognosis of pulmonary Koch's disease?

Question

Hi doctor,

My friend was diagnosed with refractory T cell ALL pulmonary Koch's with the organized pericardial collection. He was admitted to a hospital and now they discharged him and advised further treatment. Please give me valuable advice. What is the current condition? And how much is the percentage of living?

Answer 1

Hi,

Welcome to icliniq.com.

Based on your query and attached reports (attachment removed to protect patient identity), my opinion is as follows:

Pulmonary tuberculosis is under control and continuation of therapy is necessary.
However, the main problem is leukemia, which is not responding to treatment and has multiple infiltrates at different locations including the knee. It could have infiltrated at other locations and is still continuing to damage more.
Not sure, if an Allo-bone marrow transplant (allogenic-stem cell donated by another person) has been done or if it has failed. If it has failed, other options appear very dim along with the risk of infections and one-year survival is difficult.
Otherwise, the best option is a bone marrow transplant as of now.
As you already know, the current condition is bad and infection is always a risk. Any further infections can affect his condition severely to less than a month.