Wishnitzer R, Eliraz A, Sternfeld M, Suher A, Knobler H
Harefuah. 1989 Apr 2;116(7):356-8.
Endobronchial tuberculosis (EBTB) is not rare. It usually affects the upper lobe bronchi. Bronchoscopic examination may reveal white gelatinous material in the bronchial lumen, mucosal ulcerations, polypoid inflammation, scattered green-blue pigmented areas and narrowed bronchi with post-stenotic dilatation, some of which resemble colored dolomite caves. 2 women, aged 70 and 84, are presented, 1 of whom had been suffering for a year from persistent dry cough and the other from diffuse pneumonia resistant to several antibiotics. Fibreoptic bronchoscopy showed the characteristic picture of EBTB, later confirmed by positive cultures. Recognition of the clinical, radiological and bronchoscopic spectrum of EBTB makes it possible to start treatment before bacteriological diagnosis of tuberculosis from endoscopically recovered material.
支气管内膜结核（EBTB）并不罕见。它通常累及上叶支气管。支气管镜检查可能会发现支气管腔内有白色胶冻样物质、黏膜溃疡、息肉样炎症、散在的蓝绿色色素沉着区以及伴有狭窄后扩张的支气管变窄，其中一些类似彩色白云岩洞。本文介绍了两名女性，年龄分别为70岁和84岁，其中一名患有持续性干咳一年，另一名患有对多种抗生素耐药的弥漫性肺炎。纤维支气管镜检查显示出EBTB的特征性表现，随后培养结果呈阳性得以证实。认识EBTB的临床、放射学和支气管镜表现谱，使得在通过内镜回收材料进行结核细菌学诊断之前就能够开始治疗。
