Source: International Congress 2015 – Case series and clinical conundrums in TB
Disease area: Thoracic oncology

Abstract

Endobronchial tuberculosis is rare. The endoscopic aspects are often misleading that may pose a problem of differential diagnosis. The aim of our work is to clarify the pathophysiology, diagnostic difficulties and the evolution of that entity. Our work is a retrospective study of 15 cases of endobronchial tuberculosis collected at the service over a period of 11 years. The average age was 31 years. Clinical signs were not specific. The chest X-ray objectified retractile opacity (47%) and mediastinal widening (39%). Bronchoscopy was essential for the positive diagnosis. She visualized endobronchial granulomas in 6 cases of tumor buds look in 5 cases and ferrule stenosis in 4 cases. Chest CT objectified mediastinal lymphadenopathy with fistulated in the bronchi in 6 cases, alveolar condensation in 3 cases and associated tissue density corresponding to a tumor-like process tuberculosis in one case. Endobronchial tuberculosis was confirmed by bronchial biopsy (8 cases), by biopsy transparietal (2 cases), thoracotomy (one case), for peripheral lymph node biopsy (2 cases) and radio-clinical presumption of arguments with good evolution in treatment (2 cases). The treatment was based on antibacillary in all cases associated with oral corticosteroids in cases of significant airway obstruction in 5 cases. The outcome was favorable without sequelae or price minimal effects in all cases. Endobronchial tuberculosis is rare and can simulate a tumor. It is important to mention to the absence of smoking and to suggestive endoscopic signs. The early started treatment can prevent complications.


Rating:

Share or cite this content

Citations should be made in the following way:
Nawal Lakhdar (casablanca, Morocco), Nawal Lakhdar, Hasnae Jabri, Wiam El Khattabi, Hicham Afif. Endobronchial tuberculosis. Eur Respir J 2015; 46: Suppl. 59, 2756

Member's Comments

No comment yet.

Related content which might interest you: Utility of bronchoscopy in the rapid diagnosis of miliary tuberculosis Source: International Congress 2014 – Mycobacterium tuberculosis infection and disease: clinical epidemiology 1 Year: 2014 Perinatal tuberculosis: A forgotten disease? Source: International Congress 2016 – Paediatric respiratory infections Year: 2016 Fibrosing mediastinitis and tuberculosis: A Brazilian case report Source: International Congress 2014 – Tuberculosis: from epidemiology to therapy 2 Year: 2014 Features of pulmonary tuberculosis in migrants Source: International Congress 2015 – Epidemiology of TB: deaths, co-morbidities, migration and children Year: 2015 Predictive factors of recurrent pulmonary tuberculosis Source: International Congress 2014 – Tuberculosis: from epidemiology to therapy 3 Year: 2014 Two case reports: The successful management of pulmonary mycobacterium bohemicum Source: International Congress 2016 – Non-tuberculous mycobacteria: HIV-TB co-infection and adenosine deaminase (ADA) Year: 2016 Detection of tuberculosis in children Source: Annual Congress 2013 –Tuberculosis: epidemiology and public health management II Year: 2013 Modern social and clinical characteristics of miliary tuberculosis Source: International Congress 2014 – Mycobacterium tuberculosis infection and disease: clinical epidemiology 2 Year: 2014 The diagnostic efficacy of EBUS-TBNA in tuberculous lymphadenitis Source: International Congress 2016 – EBUS and transthoracic ultrasound Year: 2016 Risk factors for disseminated tuberculosis Source: International Congress 2014 – Tuberculosis: epidemiology and public health Year: 2014 Coexistence of intrathoracic lymphoma and pulmonary tuberculosis Source: Annual Congress 2013 –Tuberculosis: epidemiology and public health management II Year: 2013 Oesophageal perforation secondary to tuberculous lymphadenitis: Experience of a tertiary centre Source: International Congress 2016 – Tuberculosis: the elderly, the diabetic, the unusual, and the severe Year: 2016 Ocular tuberculosis Source: International Congress 2015 – Case series and clinical conundrums in TB Year: 2015 Perinatally acquired tuberculosis diagnosed by flexible bronchoscopy Source: Annual Congress 2013 –Paediatric bronchology Year: 2013 Reasons for suspicion of prostate tuberculosis Source: International Congress 2016 – Tuberculosis: the elderly, the diabetic, the unusual, and the severe Year: 2016 Link between clinical severity of osteoarticular tuberculosis and the combined presence of pulmonary tuberculosis Source: International Congress 2016 – Tuberculosis: the elderly, the diabetic, the unusual, and the severe Year: 2016 Management of pulmonary tuberculosis sequelae Source: International Congress 2015 – Case series and clinical conundrums in TB Year: 2015 Why do we need a classification of urogenital tuberculosis Source: International Congress 2014 – Mycobacterium tuberculosis infection and disease: clinical epidemiology 2 Year: 2014 Pleural tuberculosis in young people as an indicator of general tuberculosis rate Source: International Congress 2014 – Tuberculosis: from epidemiology to therapy 3 Year: 2014 Anterior chest wall tuberculosis in children Source: International Congress 2015 – Case series and clinical conundrums in TB Year: 2015