A Case of Endobronchial Tuberculosis with Repeated Expectoration of Nodular Tissues.

Kim, Soo Woong; Lee, Byoung Hoon; Ahn, Youngsoo; Kim, Nam In; Eom, Woo Youn; Woo, Jeong Joo; Kim, Sang Hoon

doi:2005.59.2.204

Tuberc Respir Dis > Volume 59(2); 2005 > Article

Case Report

Tuberculosis and Respiratory Diseases 2005;59(2):204-208.
DOI: https://doi.org/10.4046/trd.2005.59.2.204 Published online August 1, 2005.

A Case of Endobronchial Tuberculosis with Repeated Expectoration of Nodular Tissues.

Soo Woong Kim, Byoung Hoon Lee, Youngsoo Ahn, Nam In Kim, Woo Youn Eom, Jeong Joo Woo, Sang Hoon Kim

¹Dept. of Internal Medicine, Eulji Hospital, Eulji University School of Medicine, Seoul, Korea. ksh1134@eulji.or.kr
²Dept. of Radiology, Eulji Hospital, Eulji University School of Medicine, Seoul, Korea.

Abstract

Herein, we report a case of tumorous endobronchial tuberculosis with successful recovery of atelectasis without any significant bronchial stricture, after repeated expectorations of nodular tissues. A 24-year-old male patient was presented with persistent cough. The patient was diagnosed to be suffering from tuberculous lymphadenitis on right axillar and mediastinum of lung, and was subsequently treated with antituberculosis agents. After two months, clinical deteriorations and atelectasis were observed on right upper lobe of lung. Multiple endobronchial tumorous lesions, which obstructed the right main bronchus, were revealed on bronchoscopy, and based on the endobronchial biopsy findings we confirmed that the patient was suffering from endobronchial tuberculosis. We decided to administer antituberculosis agents without any additional procedure. After few weeks, the patient spontaneously expectorated nodular tissues with vigorous coughing. Later on, the symptoms and atelectasis disappeared and the patient was completely recovered. This case shows that in patients suffering from tumorous endobronchial tuberculosis, endobronchial mass can be expectorated spontaneously without sequelae of significant bronchial stenosis.

Key Words: Endobronchial tuberculosis, Atelectasis, Bronchoscopy