A Case of Fibrosing Alveolitis combined with Pulmonary Tuberculosis

Kim, Young Hyoun; Lee, Dong Hoo; Cho, Sung Woon; Kim, Kang Sueck; Lee, Chang Woon; Lee, Jung Hee; Kim, Choon Won; Kim, Kee Hong

doi:1975.22.3.135

Tuberc Respir Dis > Volume 22(3); 1975 > Article

Review Article

Tuberculosis and Respiratory Diseases 1975;22(3):135-140.
DOI: https://doi.org/10.4046/trd.1975.22.3.135 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

Abstract

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.