Sabarinath Ravichandar
Forty-year-old male, coolie by occupation, residing at Chennai belonging to lower socioeconomic class presented to Department of Pulmonary medicine at Sree Balaji medical college and hospital, Chennai with complaints of swelling of both legs, abdominal distension, eye lid swelling, breathlessness, cough with expectoration and fever for 2 weeks. History of loss of appetite and significant loss of weight present. There was no history of chest pain, palpitations and syncopal attacks. Patient had past history of pulmonary tuberculosis five years back defaulted category 1 anti-tuberculosis therapy. Patient is a non- smoker, nonalcoholic, and not a tobacco chewer. No significant family history. No contact history of tuberculosis
