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两例支气管炭末纤维化合并肺结核

Two cases of bronchial anthracofibrosis combined with tuberculosis.

作者信息

Dang Yan, He Xiaopeng, Wei Jia

机构信息

Department of Respiratory and Critical Care Medicine, Xianyang Central Hospital, Xianyang, Shaanxi, China.

出版信息

Ann Thorac Med. 2021 Oct-Dec;16(4):361-365. doi: 10.4103/atm.atm_27_21. Epub 2021 Oct 26.

Abstract

BACKGROUND

Bronchial anthracofibrosis is a common disease that has been reported in the past. We aim to summarize the clinical characteristics of bronchial anthracofibrosis combined with tuberculosis infection to reduce missed diagnosis.

METHODS

The clinical features of two cases of bronchial anthracofibrosis combined with tuberculosis were analyzed retrospectively, and relevant studies were reviewed.

RESULTS

The two patients were both elderly individuals who presented with chronic cough and expectoration. Pigmentation in the bronchus mucosa and stenosis of lumen were observed during bronchoscopy. Tuberculosis infection was confirmed by biopsy. The symptoms were remarkably relieved and no recurrence was found after anti-tuberculosis treatment.

CONCLUSION

Bronchial anthracofibrosis may be combined with tuberculosis. To avoid misdiagnosis, we should be aware of possible tuberculosis infection when patients are diagnosed with bronchial anthracofibrosis.

摘要

背景

支气管炭末沉着纤维化是一种过去已有报道的常见疾病。我们旨在总结支气管炭末沉着纤维化合并结核感染的临床特征,以减少漏诊。

方法

回顾性分析2例支气管炭末沉着纤维化合并结核患者的临床特征,并复习相关研究。

结果

2例患者均为老年人,表现为慢性咳嗽、咳痰。支气管镜检查可见支气管黏膜色素沉着及管腔狭窄。活检确诊为结核感染。抗结核治疗后症状明显缓解,未发现复发。

结论

支气管炭末沉着纤维化可能合并结核。为避免误诊,在诊断支气管炭末沉着纤维化患者时应警惕可能合并的结核感染。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/534c/8588945/0a5dbecd48af/ATM-16-361-g001.jpg

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