American Journal of Infectious Diseases and Microbiology
ISSN (Print): 2328-4056 ISSN (Online): 2328-4064 Website: http://www.sciepub.com/journal/ajidm Editor-in-chief: Maysaa El Sayed Zaki
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American Journal of Infectious Diseases and Microbiology. 2015, 3(5), 147-151
DOI: 10.12691/ajidm-3-5-3
Open AccessCase Report

Endobronchial Tuberculosis Presenting as a Post-obstructive Pneumonia, Para-hilar Mass Lesion in Chest Radiograph and ‘Tumorous’ Endobronchial Lesion during Bronchoscopy: A Case Report

Patil Shital1, , C R Choudhary2, Laxman Kasture3 and Ayachit Rujuta4

1Pulmonary Medicine Department, MIMSR Medical College, Latur, India

2Pulmonary Medicine, Dr S N Medical College, Jodhpur India

3Department of Radiodiagnosis, MIMSR Medical College, Latur, India

4Department of Pathology, MIMSR Medical College, Latur, India

Pub. Date: January 03, 2016

Cite this paper:
Patil Shital, C R Choudhary, Laxman Kasture and Ayachit Rujuta. Endobronchial Tuberculosis Presenting as a Post-obstructive Pneumonia, Para-hilar Mass Lesion in Chest Radiograph and ‘Tumorous’ Endobronchial Lesion during Bronchoscopy: A Case Report. American Journal of Infectious Diseases and Microbiology. 2015; 3(5):147-151. doi: 10.12691/ajidm-3-5-3

Abstract

Tuberculosis (TB) remains a major health problem in India, and accounts for nearly 20-30% of the global TB burden. Prevalence of tuberculosis infection in India is 40%, with pulmonary tuberculosis accounts for 80% cases, and Endobronchial tuberculosis (EBTB) is present in 10-40% of patients with active pulmonary tuberculosis. EBTB has diverse clinical and radiological presentation and overall scenario is confusing. Normal chest radiograph is present in 10-20% cases in EBTB, and is the common reason for delay in diagnosis. In this case report, a 25 year male presenting as febrile respiratory illness with post-obstructive pneumonia & para-hilar mass in chest radiograph and having tumorous Endobronchial growth during bronchoscopy. We confirm finally as Endobronchial tuberculosis after histopathological evaluation. Gene Xpert is rapid and sensitive test to diagnose EBTB. He is treated with antituberculosis drugs for six months and recovered clinically and radiologically completely. Bronchoscopy is must in all the cases of high index of suspicion of EBTB.

Keywords:
Endobronchial Tuberculosis (EBTB) Mass Lesion over chest Radiograph Bronchoscopy Gene Xpert

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References:

[1]  Keeler E, Perkins MD, Small P, Hanson C, Reed S, Cunningham J, Aledort JE, Hillborne L, Rafael ME, Girosi F, Dye C. Reducing the Global Burden of Tuberculosis: The Contribution of Improved Diagnostics. Nature 444; 2006: 49-57.
 
[2]  Kashyap S, Mohapatra PR, and Saini V. Endobronchial tuberculosis. Indian J Chest Dis Allied Sci. 2003; 45:247-256.
 
[3]  Han JK, Im JG, Park JH, et al. Bronchial stenosis due to Endobronchial tuberculosis: Successful treatment with self-expanding metallic stent. Am J Roentgenol 1992; 159: 971-972.
 
[4]  Chung HS. Endobronchial tuberculosis. In: Madkour MM. (editor). Tuberculosis. Springer-Verlag, Berlin, 2004, pp. 329-348.
 
[5]  Smart J. Endobronchial tuberculosis. Br J Dis Chest 1951; 45: 61-68.
 
[6]  Lee JH, Park SS, Lee DH, Shin DH, Yang SC, Yoo BM. Endobronchial tuberculosis. Clinical and bronchoscopic features in 121 cases. Chest 1992; 102: 990-992.
 
[7]  Chung HS, Lee JH. Bronchoscopic assessment of the evolution of endobronchial tuberculosis. Chest 2000; 117: 385-389.
 
[8]  Fraser RG, Pare JAP, Pare PD, et al. Diagnosis of Diseases of the Chest; Vol. 2. Philadelphia: WB Saunders Co.; 1988: 883-929.
 
[9]  Muller NL, Fraser RS, Colman NC, Pare PD. Radiologic Diagnosis of Diseases of the Chest. Philadelphia: W.B. Saunders Co.; 2001: 78-80.
 
[10]  Matthews JI, Matarese SL, Carpenter JL. Endobronchial tuberculosis simulating lung carcinoma. Chest 1984; 86: 642-644.
 
[11]  Aggarwal AN, Gupta D, Joshi K, Behera D, et al. Endobronchial involvement in tuberculosis : A report of 24 cases diagnosed by fiberoptic bronchoscopy. J Bronchol 1999; 6: 247-50.
 
[12]  Francis J. Curry National Tuberculosis Center and California Department of Public Health, 2008: Drug Resistant Tuberculosis, a Survival Guide for Clinicians, Second Edition.