A rare case of fibrostenotic endobronchial tuberculosis of trachea

Annals of Medicine and Surgery
Cassiopia CaryVenaka Gorepatti

Abstract

Endobronchial tuberculosis (EBTB) is a sequelae of pulmonary tuberculosis (TB) that extends to the endobronchial or endotracheal wall causing inflammation, edema, ulceration, granulation or fibrosis of mucosa and submucosa. This case depicts a 20 year old foreign-born woman with a history of active pulmonary TB on anti-TB chemotherapy, who presented with worsening stridor, dyspnea, cough and weight loss. The disease state was diagnosed with multiple modalities including, spirometry, CT scan of the neck, and bronchoscopy. The biopsies of the tracheal web revealed fibrotic tissue without any granulomas or malignancy establishing the diagnosis of EBTB. Serial balloon dilations and anti-neoplastic therapy with Mitomycin C was used to accomplish sufficient airway patency to relieve her symptoms. ETBT is a rare consequence of TB, which although has a low incidence in the United States, so physicians should have a high clinical suspicion based on the need for prompt intervention.

References

Apr 1, 1988·Chest·D J WilliamsB J Sproule
Sep 1, 1994·Respiratory Medicine·G HoheiselU Costabel
Apr 3, 1998·Respirology : Official Journal of the Asian Pacific Society of Respirology·I W ParkS H Hue
Apr 19, 2011·European Journal of Clinical Microbiology & Infectious Diseases : Official Publication of the European Society of Clinical Microbiology·Q XueJ Wang
Sep 10, 2014·Case Reports in Pulmonology·Anshum AnejaMantha Satya Padmaja
Jan 27, 2015·Respirology : Official Journal of the Asian Pacific Society of Respirology·Sung-Soo JungSun-Young Kim

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Citations

Oct 13, 2018·Journal of Medical Imaging and Radiation Oncology·Jason HanLloyd J Ridley

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Methods Mentioned

BETA
X-ray
biopsies
biopsy

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