Endobronchial tuberculosis presenting as right middle lobe syndrome: clinical characteristics and bronchoscopic findings in 22 cases.

Yonsei Medical Journal
Ho Cheol KimYoung Sil Hwang

Abstract

Endobronchial tuberculosis (EBTB) presenting as right middle lobe syndrome (RMLS) is an uncommon clinical condition. We investigated the clinical characteristics in patients with EBTB presenting as RMLS. We retrospectively reviewed the records of 22 patients with EBTB presenting as RMLS who were diagnosed at our hospital from 2003 to 2006. Its occurrence was more common in females than males (F, 18; M, 4). The mean age was 70.3 +/- 8.5 years, and 17 patients were above the age of 65 years. Cough with sputum was the most common manifestation and 2 patients were asymptomatic. In bronchoscopic analysis, the most common finding was edematous-type EBTB, which was found in 15 patients, followed by actively caseating type in 6 and tumorous type in 1. Acid-fast bacilli (AFB) staining for bronchial washing fluid was positive in only 5 patients: 1 with edematous type and 4 with actively caseating type. Bronchoscopic biopsy showed chronic granulomatous inflammation in 16 patients. Follow-up chest X-ray after treatment showed complete disappearance of the lesion in 2 patients, more than 50% improvement in 5, less than 50% improvement in 5, and no change of lesion in 4. Edematous-type EBTB was the most common type of EBTB presenting as RMLS...Continue Reading

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Citations

Apr 19, 2011·European Journal of Clinical Microbiology & Infectious Diseases : Official Publication of the European Society of Clinical Microbiology·Q XueJ Wang
Aug 11, 2010·European Journal of Medical Research·X Qingliang, Wang Jianxin
Oct 24, 2012·Multidisciplinary Respiratory Medicine·Lucio Casali, Mariano E Crapa
Feb 15, 2013·Iranian Journal of Radiology : a Quarterly Journal Published by the Iranian Radiological Society·Fariba RezaeetalabBehrouz Zandiee
Sep 10, 2014·Pulmonary Medicine·Surender Kashyap, Anjali Solanki
Jan 19, 2016·Annals of Medicine and Surgery·Cassiopia CaryVenaka Gorepatti
Jul 18, 2014·Lung·Angel J Balam-MayMarco A Vega-López
Mar 2, 2012·Respiration; International Review of Thoracic Diseases·Tomas Gudbjartsson, Gunnar Gudmundsson
Jun 18, 2017·World Journal of Pediatrics : WJP·An-Xia JiaoKun-Ling Shen

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Methods Mentioned

BETA
biopsy
X-ray

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