Abstract

Background

COVID 19 Pandemic as a Acute viral syndrome has many challenges in early diagnosis as well as appropriate management in time. As the pandemic is progressing we are seeing new challenging cases everyday whether it is related to comorbid issues, difficulty in diagnosis, difficult radiological interpretation or difficult clinical judgement. Early intervention and diagnosing atypical cases can lead to reduction in mortality in this pandemic. In the present case report, we report a successful management of  a patient with chief complaints of fever, dyspnea and cough with expectoration  since 5 days with COVID RTPCR positive. She was incidentally found to have a left side massive empyema on chest xray and further Evaluation. Following thoracocentesis, she was diagnosed to have underlying tubercular empyema. Therapeutic thoracocentesis resolved the empyema. At follow up, patient is better and have complete re expansion of the lung tissue.