A 32-Year-Old Dental Surgeon Presented with Massive Hemoptysis, Fever and Hypotension As A Result of Bleeding from Bronchiectasis due to Pulmonary Tuberculosis (New Case) with Concurrent Covid-19 Infection Successfully Treated with Anti-Tubercular Th

A dental surgeon had sudden onset of massive hemoptysis with hypovolemic shock during COVID-19 epidemic; her nasopharyngeal swab for SARS-CoV-2 PCR was positive. She noticed 2 days history fever and cough; however, she poor appetite nearly two weeks. Resuscitation done successfully fluids blood transfusion. Chest radiograph showed opacities in left lower zone; and, NECT chest revealed consolidation lobe patchy right upper areas bronchiectasis. Sputum gene expert drug resistant tuberculosis, Ziehl Neelsen stain acid fast bacilli Lowenstein Jensen media culture could not be as microbiological services were limitted the peak pandemics. Therefore, anti-tubercular therapy (isoniazid, rifampicin, ethambutol pyrazinamide) initiated mainly based on without sputum confirmation; patient made dramatic improvement. Two months later, gained 10 lbs weight; radiological