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 Shital^1, , 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

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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