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1986 ; 1
(2
): 229-32
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Endobronchial tuberculosis: clinical and bronchofiberscopic features
#MMPMID3154619
Lee JH
; Lee DH
; Park SS
Korean J Intern Med
1986[Jul]; 1
(2
): 229-32
PMID3154619
show ga
The clinical and bronchofiberscopic features of endobronchial tuberculosis in 53
patients were investigated. These patients comprised 4.7% of some 1,132 subjects
who had undergone flexible bronchofiberscopic examinations. The peak incidence
occurred in the third and fourth decades, a secondary peak appeared in the
seventh decade, a five to six times higher incidence was noted in the female than
in the male. Staining for acid-fast bacilli was positive in 67.9% of the patients
sputums and or specimens of bronchial washings. A barking cough was the most
common chief complaint. Next in order were chest pain, production of mucus,
dyspnea, hemoptysis, and fever. Twenty-three out of 53 patients showed
abnormalities on their chest films. The flexible bronchoscope revealed
tuberculous lesions characterized by mucosal swelling or edema, redness, erosion,
ulceration, hypertrophy with luminal narrowing, and cicartical stenosis due to
whitish pseudomembrane. The left lower and upper bronchi were involved most
frequently. The majority of the patients who were suffering from a barking cough
were resistant to antitussive agents but were responsive to steroid combination
chemotherapy with antituberculous drugs. In conclusion, the bronchofiberscopic
approach is not only helpful in the differentiation of endobronchial tuberculosis
from bronchogenic cancer but it can also be used for relieving atelectasis.