{
  "abstract": "This article describes the case of a male patient in his late 40s with a history of pulmonary tuberculosis (TB) 25 years ago who presented with a decade-long recurrent cough, sputum production and frequent pneumonia. His symptoms were repeatedly wrongly credited to TB reactivation or reinfection, leading to several unnecessary courses of anti-tubercular therapy. A decisive high-resolution CT thorax revealed the pathognomonic features of Mounier-Kuhn syndrome such as marked tracheobronchomegaly and airway diverticulosis. This provided an appropriate explanation for his clinical course. This case highlights a critical diagnostic pitfall, emphasising the need to consider structural airway diseases in patients with a history of TB whose symptoms follow an atypical or refractory pattern, thereby avoiding unnecessary treatments and guiding appropriate management.",
  "authors": [
    {
      "affiliations": [
        "Respiratory Medicine, Datta Meghe Institute of Higher Education and Research Deemed to be University, Wardha, Maharashtra, India"
      ],
      "name": "Amisha Harish Soni"
    },
    {
      "affiliations": [
        "Respiratory Medicine, Datta Meghe Institute of Higher Education and Research Deemed to be University, Wardha, Maharashtra, India"
      ],
      "name": "Babaji Ghewade"
    },
    {
      "affiliations": [
        "Indira Gandhi Government Medical College and Hospital, Nagpur, Maharashtra, India"
      ],
      "name": "Nandani Goswami"
    },
    {
      "affiliations": [
        "General Medicine, Datta Meghe Institute of Higher Education and Research Deemed to be University, Wardha, Maharashtra, India"
      ],
      "name": "Viraj Vishal Wadhera"
    },
    {
      "affiliations": [
        "Respiratory Medicine, Datta Meghe Institute of Higher Education and Research Deemed to be University, Wardha, Maharashtra, India"
      ],
      "name": "Poonam Avinash Patil"
    },
    {
      "affiliations": [
        "Respiratory Medicine, Datta Meghe Institute of Higher Education and Research Deemed to be University, Wardha, Maharashtra, India"
      ],
      "name": "Mummaneni Rashmika"
    }
  ],
  "title": "Anchoring bias in a post-tuberculosis patient: delayed diagnosis of Mounier-Kuhn syndrome",
  "uid": "85d64207-50f8-5c90-9cdc-a393a7a0d917"
}