Rangari Ankit, Ghewade Babaji, Gajabe Gauri
Respiratory Medicine, Jawaharlal Nehru Medical College, Datta Meghe Institute of Higher Education and Research, Wardha, IND.
Clinical Embryology, Jawaharlal Nehru Medical College, Datta Meghe Institute of Higher Education and Research, Wardha, IND.
Cureus. 2024 Aug 14;16(8):e66866. doi: 10.7759/cureus.66866. eCollection 2024 Aug.
Bronchiectasis is a chronic respiratory disease characterized by a syndrome of productive cough and recurrent respiratory infections due to permanent dilatation of the bronchi. In this case, we discuss a 32-year-old male patient with a history of tuberculosis (TB) from a rural area of Wardha, Maharashtra. The case discusses the diagnostic modalities confirming the diagnosis, sputum investigations, and imaging studies like chest X-ray, high-resolution computed tomography (HRCT), pulmonary function test (PFT), and bronchoscopy. This case underscores the importance of early recognition and management of bronchiectasis in patients with a history of pulmonary TB. Chronic inflammation and necrosis from the initial TB infection likely contributed to impaired mucociliary clearance and bronchial dilation, creating a conducive environment for bacterial colonization and recurrent infections. This case highlights the need for long-term follow-up and potential interventions to manage chronic respiratory symptoms in post-TB patients.
支气管扩张症是一种慢性呼吸道疾病,其特征为由于支气管的永久性扩张导致的咳痰性咳嗽和反复呼吸道感染综合征。在本病例中,我们讨论一名来自马哈拉施特拉邦瓦尔达农村地区的32岁男性患者,他有结核病(TB)病史。该病例讨论了确诊的诊断方法、痰液检查以及胸部X光、高分辨率计算机断层扫描(HRCT)、肺功能测试(PFT)和支气管镜检查等影像学研究。本病例强调了对有肺结核病史患者早期识别和管理支气管扩张症的重要性。最初的结核感染引起的慢性炎症和坏死可能导致黏液纤毛清除功能受损和支气管扩张,为细菌定植和反复感染创造了有利环境。本病例突出了对结核病后患者进行长期随访和采取潜在干预措施以管理慢性呼吸道症状的必要性。