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Endobronchial tuberculosis mimicking malignancy.

Patel SM, Iyer A, Jayalakshmi TK, Nair G - Lung India (2015 Sep-Oct)

Bottom Line: However, detection is essential as it may lead to long-term sequelae such as bronchial stenosis.Bronchoscopy is a very useful investigation in such cases.Our case is a rare manifestation of endobronchial tuberculosis as it mimicked malignancy.

View Article: PubMed Central - PubMed

Affiliation: Department of Pulmonary Medicine, Padmashree Dr. DY Patil Hospital, Navi Mumbai, Maharashtra, India.

ABSTRACT
Endobronchial tuberculosis has a very varied presentation. Diagnosis is often very challenging as typical radiological features are absent and sputum smear for acid-fast bacilli is often negative. However, detection is essential as it may lead to long-term sequelae such as bronchial stenosis. Bronchoscopy is a very useful investigation in such cases. Our case is a rare manifestation of endobronchial tuberculosis as it mimicked malignancy.

No MeSH data available.


Related in: MedlinePlus

(a) Cxr after 1 month of treatment (b) Cxr after 5 months of treatment
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Figure 4: (a) Cxr after 1 month of treatment (b) Cxr after 5 months of treatment

Mentions: The 6-week MGIT culture of the bronchial wash resulted positive for AFB. The patient was started on Category 1 AKT along with steroids (1 mg/kg/day) tapered over 6 weeks. After a month, a repeat Chest X-ray showed a decrease in the size of the lesion, which showed further significant resolution on follow-up X-rays, along with clinical improvement [Figure 4a and b].


Endobronchial tuberculosis mimicking malignancy.

Patel SM, Iyer A, Jayalakshmi TK, Nair G - Lung India (2015 Sep-Oct)

(a) Cxr after 1 month of treatment (b) Cxr after 5 months of treatment
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4587012&req=5

Figure 4: (a) Cxr after 1 month of treatment (b) Cxr after 5 months of treatment
Mentions: The 6-week MGIT culture of the bronchial wash resulted positive for AFB. The patient was started on Category 1 AKT along with steroids (1 mg/kg/day) tapered over 6 weeks. After a month, a repeat Chest X-ray showed a decrease in the size of the lesion, which showed further significant resolution on follow-up X-rays, along with clinical improvement [Figure 4a and b].

Bottom Line: However, detection is essential as it may lead to long-term sequelae such as bronchial stenosis.Bronchoscopy is a very useful investigation in such cases.Our case is a rare manifestation of endobronchial tuberculosis as it mimicked malignancy.

View Article: PubMed Central - PubMed

Affiliation: Department of Pulmonary Medicine, Padmashree Dr. DY Patil Hospital, Navi Mumbai, Maharashtra, India.

ABSTRACT
Endobronchial tuberculosis has a very varied presentation. Diagnosis is often very challenging as typical radiological features are absent and sputum smear for acid-fast bacilli is often negative. However, detection is essential as it may lead to long-term sequelae such as bronchial stenosis. Bronchoscopy is a very useful investigation in such cases. Our case is a rare manifestation of endobronchial tuberculosis as it mimicked malignancy.

No MeSH data available.


Related in: MedlinePlus