Otaki M, Ichikawa Y, Oizumi K
Department of First Medicine, Kurume University School of Medicine, Fukuoka, Japan.
Kekkaku. 1994 Jul;69(7):491-5.
A case of endobronchial tuberculosis complicated with atelectasis of upper lobe of the right lung is reported. A 79-years old female was admitted to our hospital for rehabilitation of her Parkinsonisms. On admission, her chest X-ray photo showed atelectasis of right upper lobe. A nodule of a broad-bean size was observed at the orifice of the right upper bronchus by a bronchofiberscopic examination and it was considered as the cause of the atelectasis. Histological examination of a specimen obtained by transbronchial biopsy of this nodule showed epithelioid granuloma. Mycobacterium tuberculosis was isolated from a bronchial washing after 4-weeks cultivation. Anti-tuberculous treatment with INH, RFP and EB was started on January 1992 and, consequently, her chest X-ray findings showed remarkable improvement. Bronchofiberscopic examination in January 1993 showed a marked reduction in the size of the nodule, and the atelectactic shadow had disappeared and just a residual scar was observed on her chest X-ray photo in June 1993.
报告1例支气管内膜结核合并右肺上叶肺不张。一名79岁女性因帕金森病康复入住我院。入院时，其胸部X光片显示右肺上叶肺不张。经纤维支气管镜检查，在右上支气管开口处观察到一个蚕豆大小的结节，考虑为肺不张的原因。对该结节经支气管活检获取的标本进行组织学检查显示为上皮样肉芽肿。经4周培养后，从支气管灌洗物中分离出结核分枝杆菌。1992年1月开始用异烟肼、利福平及乙胺丁醇进行抗结核治疗，结果其胸部X光检查结果显示明显改善。1993年1月的纤维支气管镜检查显示结节大小明显缩小，1993年6月其胸部X光片上肺不张阴影消失，仅见残留瘢痕。
