| Clinical and Bronchoscopic Features in Endobronchial Tuberculosis. |
|
Jin Young An, Jang Eun Lee, Hyung Wook Park, Jeong Hwa Lee, Seung Ah Yang, Sung Soo Jung, Ju Ock Kim, Sun Young Kim |
1Department of Internal Medicine, Cheongju St. Mary's Hospital, Cheongju, Korea.
2Department of Internal Medicine, The Catholic University of Korea, Korea.
3Department of Internal Medicine, Chungnam National University, Daejeon, Korea. sykim@cnu.ac.kr |
|
|
| Abstract |
BACKGROUND
The incidence of pulmonary tuberculosis has been reducing, but endobronchial tuberculosis continues to be a signigicant heath problem. We performed prospectively bronchoscopy in patients diagnosed with pulmonary tuberculosis in order to evaluate the frequency of endobronchial tuberculosis and its related findings. Follow-up bronchoscopy was also performed after treatment to evaluate the incidence of endobronchial complications such as stenosis and remaining lesions. METHODS: From January , 1999 to December, 2003, bronchoscopy was performed on patients newly diagnosed with pulmonary tuberculosis. RESULTS: 458 patients were enrolled in this study, out of 699 patients with pulmonary tuberculosis from 1999 to 2003. 234(51%) had endobronchial tuberculosis. The frequency was 40.3% in males and 66.3% in females, The most common symptom was nonspecific cough and sputum, and the main radiologiy finding was patchy infiltration. The most common subtype of endobronchial tuberculosis was the edema-hyperemic form. The right lung was involved more frequently than the left, and the left upper lobe was the most commonly involved site. 58 patients underwent follow-up bronchoscopy and most of been cured without major sequels. However, 8 patients had a stenosis of trachea and main bronchus, and 6 patients had still had endobronchial lesions. Therefore the treatment was prolonged for 3 months. CONCLUSION: Endobronchial tuberculosis of pulmonary tuberculosis has been remained of high incidence. bronchoscopic and follow-up bronchoscopy examination needs to evaluate the incidence of endobronchial tuberculosis and its related findings and major complication despite of treatment. |
| Key Words:
Endobronchial tuberculosis, Pulmonary tuberculosis |
|
PDF Links
Full text via DOI
Download Citation
