Alamé T, Dierckx P, Carlier S, Sergysels R
Clinique de Pneumologie, Hôpital Universitaire Saint-Pierre, Bruxelles, Belique.
Eur Respir J. 1995 Apr;8(4):658-60.
A 27 year old African woman infected with the human immunodeficiency virus (HIV) presented with pulmonary complaints. Her sputum smears were positive for acid-fast bacilli (AFB). Chest roentgenogram showed right mediastinal and hilar adenopathy with a right pulmonary infiltrate. At fibreoptic bronchoscopy, mucosal infiltration with perforation and presence of thick caseum was detected in the bronchus intermedius confirming the diagnosis of a perforated lymph node. This case demonstrates that a more liberal indication of bronchoscopy helps in evaluating the impact of enlarged intrathoracic lymph nodes on neighbouring bronchi, leading to earlier detection of endobronchial tuberculosis in patients with the acquired immune deficiency syndrome (AIDS).
一名27岁感染人类免疫缺陷病毒（HIV）的非洲女性出现肺部不适症状。她的痰涂片抗酸杆菌（AFB）呈阳性。胸部X线片显示右纵隔和肺门淋巴结肿大，伴有右肺浸润。在纤维支气管镜检查中，发现中间支气管有黏膜浸润、穿孔及厚干酪样物质，证实为穿孔性淋巴结，从而确诊。该病例表明，更广泛地应用支气管镜检查有助于评估胸内肿大淋巴结对邻近支气管的影响，从而在获得性免疫缺陷综合征（AIDS）患者中更早地发现支气管内结核。
