Kim Mikyoung, Kang Eun Seok, Park Jin Yong, Kang Hwa Rim, Kim Jee Hyun, Chang YouJin, Choi Kang Hyeon, Lee Ki Man, Kim Yook, An Jin Young
Department of Internal Medicine, Chungbuk National University College of Medicine, Cheongju, Korea.
Department of Radiology, Chungbuk National University College of Medicine, Cheongju, Korea.
Tuberc Respir Dis (Seoul). 2015 Jul;78(3):286-8. doi: 10.4046/trd.2015.78.3.286. Epub 2015 Jun 30.
Endobronchial tuberculosis is defined as a tuberculous infection of the tracheobronchial tree and has a prevalence of up to 50% in active pulmonary tuberculosis cases. The most common complication of endobronchial tuberculosis is bronchial stenosis; benign fistula formation by endobronchial tuberculosis is rare, especially inter-bronchial fistula formation. We reported a rare case of a 73-year-old woman with a fistula between the right upper bronchus and bronchus intermedius. A diagnosis of inter-bronchial fistula caused by endobronchial tuberculosis was based on the results of chest computed tomography scans, bronchoscopy, and microbiological and pathological tests. The patient was treated with anti-tuberculous medication, and her symptoms gradually improved.
支气管内膜结核被定义为气管支气管树的结核感染,在活动性肺结核病例中的患病率高达50%。支气管内膜结核最常见的并发症是支气管狭窄;支气管内膜结核形成良性瘘管很少见,尤其是支气管间瘘管形成。我们报告了一例罕见的73岁女性病例,其右上支气管与中间支气管之间存在瘘管。根据胸部计算机断层扫描、支气管镜检查以及微生物学和病理学检查结果,诊断为支气管内膜结核引起的支气管间瘘管。该患者接受了抗结核药物治疗,症状逐渐改善。