Tuberc Respir Dis > Volume 22(3); 1975 > Article
Tuberculosis and Respiratory Diseases 1975;22(3):135-140.
DOI:    Published online September 1, 1975.
A Case of Fibrosing Alveolitis combined with Pulmonary Tuberculosis
Young Hyoun Kim1, Dong Hoo Lee1, Sung Woon Cho1, Kang Sueck Kim1, Chang Woon Lee1, Jung Hee Lee1, Choon Won Kim2, Kee Hong Kim2
1Department of Internal Medicine, College of Medicine, Han Yang University
2Department of Clinical Pathology, College of Medicine, Han Yang University
폐결핵을 합병한 폐 섬유증 1예
김영현1, 이동후1, 조성운1, 김강석1, 이창운1, 이정희1, 김춘원2, 김기홍2
A case of fibrosing alveolitis associated with pulmonary tuberculosis is presented. This is a case of 50-year-old woman admitted with dyspnea on exertion and fatigue for 8 months. She has clubbing fingers. Physical examination disclosed crepitation sounds throughout over the right lung field. Chest films show reticular and honey.comb appearance in the right upper and lower 10bes.A chest film taken 6 months prior to this admission showed changes identical to those of admission chest films. Lung scans with 99m Tc reveals perfusion defect in the right lung field except the base of the right lower lobe and the middle lobe. The routine laboratory examinations contribute little in making the diagnosis except for bacteriologic smear and culture. The sputum reveals A.F.B. on smear and M. tuberculosae Percutaneous needle biopsy of the lung shows diffuse interstitial fibrosis associated with granulomatous inflammation. Acid-fast bacilli are demonstrated in the cytoplasm of Langhan’ s giant cells and epitheloid cells.

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