Thought to lose weight due to exam preparation, 17-year-old patient suddenly suffers from severe pulmonary tuberculosis

An Phương - Cao Thơm |

Many mild abnormal signs of the body make many people subjective, only when admitted to the hospital do they realize they have pulmonary tuberculosis.

Only seeing his body lose weight during the exam preparation period, a high school student said that the reason was due to study pressure, staying up late and irregular activities, so he did not go for health check-ups. When admitted to the Department of Neumrology and Cardiology, Central Lung Hospital (Hanoi), the patient's lungs were almost completely damaged on one side, accompanied by coughing up blood.

Năm 2025, Việt Nam phát hiện hơn 119.000 bệnh nhân lao, tăng 5% so với năm 2024, đạt 63% số ca ước tính trong cộng đồng. Đáng chú ý, lao phổi đang có xu hướng trẻ hoá. Ảnh: Phương Anh
In 2025, Vietnam detected more than 19,000 tuberculosis patients, an increase of 5% compared to 2024, reaching 63% of the estimated number of cases in the community. Notably, pulmonary tuberculosis is trending towards rejuvenation. Photo: Phuong Anh

According to BSCKII Nguyen Bich Ngoc, Department of Respiratory Surgery, Central Lung Hospital, in recent years, the rate of young patients diagnosed with the disease has tended to increase compared to before.

Many cases come for examination when the disease has progressed severely, while the initial symptoms are just symptoms that are easily overlooked such as mild fever, weight loss, prolonged cough," the doctor said.

The reality of treatment shows that many young people have symptoms such as mild fever, weight loss, prolonged cough but hesitate to go to the doctor because they are busy studying, working or reluctant to check their health. Even in some cases, there are almost no obvious symptoms, and when they cough up blood and come to the hospital, lung damage is already relatively severe.

Theo BSCKII Nguyễn Bích Ngọc, nhiều trường hợp nhập viện khi tình trạng bệnh đã nặng. Ảnh: Phương Anh
According to BSCKII Nguyen Bich Ngoc, many cases are hospitalized when the condition is already severe. Photo: Phuong Anh

For cases diagnosed early, when the lesions are still small and there are no complications, the treatment effectiveness is very high, even in some cases, lung lesions are almost completely recovered. Conversely, if left late, widespread lesions will increase the risk of sequelae and recurrence.

Doctors recommend that people should have regular health check-ups, even when there are no symptoms. Screening at least 1-2 times a year can help detect early minor lesions in the lungs. Cases with symptoms such as prolonged cough for about 2 weeks, unexplained weight loss, persistent mild fever or chills in the afternoon need to be examined early to avoid late detection and severe progression.

People treated for tuberculosis need to adhere to the correct protocol, sufficient duration, and correct dosage. Quitting the drug halfway can prevent bacteria from being completely killed, increasing the risk of drug resistance and spreading to the community. Some people even hide the disease for fear of being stigmatized, unintentionally making the risk of infection higher.

An Phương - Cao Thơm
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