Mulliez P, Darras A, Dabouz R, Smith M
Service de Pneumologie, Hôpital Saint-Philibert, Lomme.
Rev Pneumol Clin. 1990;46(2):85-7.
Broncholithiasis is usually a late complication of tuberculous lymphadenopathy. Clinical symptoms are not suggestive of the condition in most cases, except for lithoptysis which occurs in 5 to 34% of the patients. Owing to the currently low frequency of tuberculosis, broncholithiasis is a rare and sometimes surprising diagnosis, as in the case reported here. In this 65-year old silicotic man, broncholithiasis was manifested by blood-stained expectoration. Fibroscopy established the diagnosis by showing 2 broncholiths, about 1 cm wide, which were endoscopically extracted. The second peculiarity of this case is that broncholithiasis was associated with active tuberculosis.
支气管结石症通常是结核性淋巴结病的晚期并发症。在大多数情况下，临床症状并不能提示该病，只有5%至34%的患者会出现咳出结石的症状。由于目前结核病发病率较低，支气管结石症是一种罕见的诊断，有时令人惊讶，如此处报告的病例。在这名65岁的矽肺男性患者中，支气管结石症表现为痰中带血。纤维支气管镜检查发现了2颗宽约1厘米的支气管结石，通过内镜将其取出，从而确诊。该病例的第二个特殊之处在于支气管结石症与活动性肺结核相关。
