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支气管内膜结核表现为多个支气管内水疱样病变。

Endobronchial tuberculosis presented as multiple endobronchial vesicular lesions.

作者信息

Idrees Farah, Kamal Saima, Irfan Muhammad, Ahmed Rashida

机构信息

Department of Medicine, The Aga Khan University Hospital, Karachi, Pakistan.

Department of Medicine, The Aga Khan University Hospital, Karachi, Pakistan.

出版信息

Int J Mycobacteriol. 2015 Jun;4(2):154-7. doi: 10.1016/j.ijmyco.2015.02.005. Epub 2015 Apr 2.

Abstract

Endobronchial tuberculosis (EBTB) is a tuberculous infection of the tracheobronchial tree with microbiological and histopathological evidence, with or without parenchymal involvement. EBTB commonly presents as acute or insidious onset cough, wheeze, low grade fever, and constitutional symptoms. In elderly patients, other differentials like malignancy and pneumonia may lead to misdiagnosis. Hence, bronchoscopy is essential for confirmation of EBTB. Here we report a rare presentation of EBTB in a 65 year old patient who presented with 3 months history of fever and cough and have multiple endobronchial vesicular lesions on bronchoscopy.

摘要

支气管内膜结核(EBTB)是气管支气管树的结核感染,有微生物学和组织病理学证据,可伴有或不伴有实质受累。EBTB通常表现为急性或隐匿性起病的咳嗽、喘息、低热和全身症状。在老年患者中,其他如恶性肿瘤和肺炎等鉴别诊断可能导致误诊。因此,支气管镜检查对于确诊EBTB至关重要。在此,我们报告一例65岁患者罕见的EBTB表现,该患者有3个月的发热和咳嗽病史,支气管镜检查发现多个支气管内水疱样病变。

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