{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,17]],"date-time":"2026-07-17T17:04:36Z","timestamp":1784307876137,"version":"3.55.0"},"reference-count":22,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2026,6,2]],"date-time":"2026-06-02T00:00:00Z","timestamp":1780358400000},"content-version":"vor","delay-in-days":1,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,6,1]],"date-time":"2026-06-01T00:00:00Z","timestamp":1780272000000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Clinical Case Reports"],"published-print":{"date-parts":[[2026,6]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:p>\n                    We report a case of severe post\u2010tuberculosis lung disease (PTLD) in a 60\u2010year\u2010old Ugandan man with a six\u2010year history of suboptimally treated pulmonary tuberculosis (PTB), who presented with a three\u2010week history of productive cough, yellow foul\u2010smelling sputum occasionally streaked with blood, dyspnea, pleuritic chest pain, fatigue and progressive exercise intolerance. Imaging revealed extensive structural lung damage characterized by bronchiectasis, multiple bullae, and fibrotic changes, more pronounced in the left lung. Laboratory evaluation showed leukocytosis with neutrophilic predominance, and sputum culture grew\n                    <jats:styled-content style=\"fixed-case\">\n                      <jats:italic>Pseudomonas aeruginosa<\/jats:italic>\n                    <\/jats:styled-content>\n                    and\n                    <jats:styled-content style=\"fixed-case\">\n                      <jats:italic>Streptococcus pneumoniae<\/jats:italic>\n                    <\/jats:styled-content>\n                    . A diagnosis of post\u2010tuberculosis structural lung disease complicated by acute infective exacerbation of bronchiectasis was made. Treatment with intravenous empirical antibiotics followed by culture\u2010directed therapy, along with supportive care, led to clinical improvement and reduction in respiratory symptoms. This case highlights the severe structural sequelae of suboptimally treated PTB and the importance of early recognition and appropriate management of infective exacerbations, particularly in resource\u2010limited settings.\n                  <\/jats:p>","DOI":"10.1002\/ccr3.72854","type":"journal-article","created":{"date-parts":[[2026,6,3]],"date-time":"2026-06-03T04:56:08Z","timestamp":1780462568000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Severe Post\u2010Tuberculosis Bronchiectasis With Bullous Lung Disease Complicated by Acute Infective Exacerbation: A Case Report From Uganda"],"prefix":"10.1002","volume":"14","author":[{"ORCID":"https:\/\/orcid.org\/0009-0003-7328-3195","authenticated-orcid":false,"given":"Abdisalam Ahmed","family":"Sandeyl","sequence":"first","affiliation":[{"name":"Internal Medicine Department Kampala International University, Western Campus  Ishaka\u2010Bushenyi Uganda"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Farah Dubad","family":"Abdi","sequence":"additional","affiliation":[{"name":"Internal Medicine Department Kampala International University, Western Campus  Ishaka\u2010Bushenyi Uganda"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"David Elia","family":"Saria","sequence":"additional","affiliation":[{"name":"Internal Medicine Department Kampala International University, Western Campus  Ishaka\u2010Bushenyi Uganda"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Grace Akumu","family":"Oling","sequence":"additional","affiliation":[{"name":"Internal Medicine Department Kampala International University, Western Campus  Ishaka\u2010Bushenyi Uganda"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Abdisamad Guled","family":"Hersi","sequence":"additional","affiliation":[{"name":"Internal Medicine Department Kampala International University, Western Campus  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