Source: Annual Congress 2003 - Clinical features in tuberculosis - I
Disease area: Respiratory infections

Abstract

Anthracofibrosis (AF) is defined as bronchoscopic finding of bronchial narrowing or obliteration with black pigmentation on overlying mucosa. AF is suggestive of active tuberculosis (TB) (Chest 1998;113:344-50).
The aim of study was to determine the relationship between bronchoscopic features of AF and active pulmonary TB.
In 2001-2002, we evaluated 73 patients (pts) with bronchoscopic findings of AF, 36 men and 37 women, aged from 26 to 80 years (mean age 66.33). The clinical, bronchoscopic and bacteriological findings were analyzed respectively. Cough was the most common symptom (58/73). Eighteen (24.6%) pts were presented with haemoptysis. Bronchoscopic findings of AF were most frequently found in right upper lobe (30/73). Active TB was confirmed in: 17 pts (23.2%) by sputum or bronchial washings culture; 7pts (9.5%) by histologic finding of chronic inflammatory granuloma consistent with TB; in 4 pts (5.4%) by both methods.
These results suggest that AF is closely related with active pulmonary TB although its pathogenesis is not well defined yet. So, sputum and bronchial washings should be submitted for smear and culture in all patients with bronchoscopic features of AF.

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T. S. Cvok, G. Radosavljevic- Asic, B. Milenkovic, E. Sudjic, T. T. Cvok (Belgrade, Yugoslavia). The relationship between bronchoscopic findings of anthracofibrosis and active tuberculosis. Eur Respir J 2003; 22: Suppl. 45, 995

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