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Rev Pneumol Clin ; 57(4): 289-95, 2001 Sep.
Article in French | MEDLINE | ID: mdl-11593155

ABSTRACT

BACKGROUND: We report 10 cases of active endobronchial tuberculosis in female patients. PATIENTS AND METHODS: Diagnosis of endobronchial tuberculosis was established by demonstrating the presence of Koch bacilli in the bronchial washings or at pathology examination of a bronchial mucosa biopsy. Follow-up was available for 5 of the 10 cases. RESULTS: These women were aged 19 to 756 years. Clinical signs included persistent cough (n=10), wheezing (n=10), dyspnea (n=5), dysphonia (n=4) and fever (n=8). Chest x-ray was normal in 4 cases but showed condensation in 4 others with infiltration of the superior lobe in 2 cases. Bronchoscopy findings were characteristic with a thick layer of white caseum on the mucosa. Koch bacilli were found in all bronchial wash specimens. Pathology examination confirmed the diagnosis of tuberculosis in 5 of the 10 cases.


Subject(s)
Bronchial Diseases/diagnosis , Tracheal Diseases/diagnosis , Tuberculosis, Pulmonary/diagnosis , Adult , Aged , Anti-Inflammatory Agents/therapeutic use , Antitubercular Agents/therapeutic use , Biopsy , Bronchial Diseases/complications , Bronchial Diseases/drug therapy , Bronchial Diseases/microbiology , Bronchoalveolar Lavage Fluid/microbiology , Bronchoscopy , Cough/microbiology , Drug Therapy, Combination , Dyspnea/microbiology , Fever/microbiology , Humans , Middle Aged , Respiratory Sounds/etiology , Retrospective Studies , Steroids , Tracheal Diseases/complications , Tracheal Diseases/drug therapy , Tracheal Diseases/microbiology , Tracheal Stenosis/microbiology , Tracheal Stenosis/prevention & control , Treatment Outcome , Tuberculosis, Pulmonary/complications , Tuberculosis, Pulmonary/drug therapy , Tuberculosis, Pulmonary/microbiology , Voice Disorders/microbiology
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