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Fistula Formation between Right Upper Bronchus and Bronchus Intermedius Caused by Endobronchial Tuberculosis: A Case Report.

Kim M, Kang ES, Park JY, Kang HR, Kim JH, Chang Y, Choi KH, Lee KM, Kim Y, An JY - Tuberc Respir Dis (Seoul) (2015)

Bottom Line: Endobronchial tuberculosis is defined as a tuberculous infection of the tracheobronchial tree and has a prevalence of up to 50% in active pulmonary tuberculosis cases.We reported a rare case of a 73-year-old woman with a fistula between the right upper bronchus and bronchus intermedius.The patient was treated with anti-tuberculous medication, and her symptoms gradually improved.

View Article: PubMed Central - PubMed

Affiliation: Department of Internal Medicine, Chungbuk National University College of Medicine, Cheongju, Korea.

ABSTRACT
Endobronchial tuberculosis is defined as a tuberculous infection of the tracheobronchial tree and has a prevalence of up to 50% in active pulmonary tuberculosis cases. The most common complication of endobronchial tuberculosis is bronchial stenosis; benign fistula formation by endobronchial tuberculosis is rare, especially inter-bronchial fistula formation. We reported a rare case of a 73-year-old woman with a fistula between the right upper bronchus and bronchus intermedius. A diagnosis of inter-bronchial fistula caused by endobronchial tuberculosis was based on the results of chest computed tomography scans, bronchoscopy, and microbiological and pathological tests. The patient was treated with anti-tuberculous medication, and her symptoms gradually improved.

No MeSH data available.


Related in: MedlinePlus

(A) A round bronchial wall defect of approximately 3 mm was found at the anterior wall of the right upper lobar bronchus. (B) A round bronchial wall defect of approximately 3 mm was found at the lateral aspect of the distal bronchus intermedius. RULB: right upper lobe bronchus; RLLB: right lower lobe bronchus; RMLB: right middle lobe bronchus.
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Figure 3: (A) A round bronchial wall defect of approximately 3 mm was found at the anterior wall of the right upper lobar bronchus. (B) A round bronchial wall defect of approximately 3 mm was found at the lateral aspect of the distal bronchus intermedius. RULB: right upper lobe bronchus; RLLB: right lower lobe bronchus; RMLB: right middle lobe bronchus.

Mentions: Bronchoscopy revealed an approximately 3-mm bronchial wall defect with round and relatively well-defined margins at the anterior wall of the right upper bronchus and the lateral aspect of the distal bronchus intermedius (Figure 3). Bronchial washing and biopsy were obtained in anterior wall defect of right upper bronchus. Acid-fast bacillus stain, culture, tuberculosis polymerase chain reaction, and biopsy results were all compatible with a diagnosis of tuberculosis. Bacteria, fungal culture, and malignant cells were not observed in washing fluids or biopsy. A diagnosis of fistula formation between the right upper bronchus and bronchus intermedius caused by EBTB was made and, following the initiation of anti-tuberculosis medications, the patient's symptoms gradually improved.


Fistula Formation between Right Upper Bronchus and Bronchus Intermedius Caused by Endobronchial Tuberculosis: A Case Report.

Kim M, Kang ES, Park JY, Kang HR, Kim JH, Chang Y, Choi KH, Lee KM, Kim Y, An JY - Tuberc Respir Dis (Seoul) (2015)

(A) A round bronchial wall defect of approximately 3 mm was found at the anterior wall of the right upper lobar bronchus. (B) A round bronchial wall defect of approximately 3 mm was found at the lateral aspect of the distal bronchus intermedius. RULB: right upper lobe bronchus; RLLB: right lower lobe bronchus; RMLB: right middle lobe bronchus.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4499601&req=5

Figure 3: (A) A round bronchial wall defect of approximately 3 mm was found at the anterior wall of the right upper lobar bronchus. (B) A round bronchial wall defect of approximately 3 mm was found at the lateral aspect of the distal bronchus intermedius. RULB: right upper lobe bronchus; RLLB: right lower lobe bronchus; RMLB: right middle lobe bronchus.
Mentions: Bronchoscopy revealed an approximately 3-mm bronchial wall defect with round and relatively well-defined margins at the anterior wall of the right upper bronchus and the lateral aspect of the distal bronchus intermedius (Figure 3). Bronchial washing and biopsy were obtained in anterior wall defect of right upper bronchus. Acid-fast bacillus stain, culture, tuberculosis polymerase chain reaction, and biopsy results were all compatible with a diagnosis of tuberculosis. Bacteria, fungal culture, and malignant cells were not observed in washing fluids or biopsy. A diagnosis of fistula formation between the right upper bronchus and bronchus intermedius caused by EBTB was made and, following the initiation of anti-tuberculosis medications, the patient's symptoms gradually improved.

Bottom Line: Endobronchial tuberculosis is defined as a tuberculous infection of the tracheobronchial tree and has a prevalence of up to 50% in active pulmonary tuberculosis cases.We reported a rare case of a 73-year-old woman with a fistula between the right upper bronchus and bronchus intermedius.The patient was treated with anti-tuberculous medication, and her symptoms gradually improved.

View Article: PubMed Central - PubMed

Affiliation: Department of Internal Medicine, Chungbuk National University College of Medicine, Cheongju, Korea.

ABSTRACT
Endobronchial tuberculosis is defined as a tuberculous infection of the tracheobronchial tree and has a prevalence of up to 50% in active pulmonary tuberculosis cases. The most common complication of endobronchial tuberculosis is bronchial stenosis; benign fistula formation by endobronchial tuberculosis is rare, especially inter-bronchial fistula formation. We reported a rare case of a 73-year-old woman with a fistula between the right upper bronchus and bronchus intermedius. A diagnosis of inter-bronchial fistula caused by endobronchial tuberculosis was based on the results of chest computed tomography scans, bronchoscopy, and microbiological and pathological tests. The patient was treated with anti-tuberculous medication, and her symptoms gradually improved.

No MeSH data available.


Related in: MedlinePlus