Endobronchial tuberculosis polyps
Abstract Endobronchial tuberculosis (TB) is an uncommon manifestation of Mycobacterium tuberculosis. We report a case of endobronchial TB polyps in a patient from India presenting with cough, loss of weight and night sweats. Computed tomography chest revealed enlarged mediastinal lymph nodes, endobr...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Wiley
2020-08-01
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| Series: | Respirology Case Reports |
| Subjects: | |
| Online Access: | https://doi.org/10.1002/rcr2.595 |
| _version_ | 1819106278379618304 |
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| author | Christiaan Yu Chuan Tai Foo Ar Kar Aung Simon A. Joosten |
| author_facet | Christiaan Yu Chuan Tai Foo Ar Kar Aung Simon A. Joosten |
| author_sort | Christiaan Yu |
| collection | DOAJ |
| description | Abstract Endobronchial tuberculosis (TB) is an uncommon manifestation of Mycobacterium tuberculosis. We report a case of endobronchial TB polyps in a patient from India presenting with cough, loss of weight and night sweats. Computed tomography chest revealed enlarged mediastinal lymph nodes, endobronchial invasion, and nodular infiltrates in the right lower lobe. Flexible bronchoscopy revealed two endobronchial polyps at the carina and left main bronchus which were biopsied. Histopathology showed non‐caseating granulomas. Both the biopsy and bronchial washings did not identify acid‐fast bacilli on Ziehl‐Neelsen stain and had negative TB complex DNA polymerase chain reaction. One month after bronchoscopy, M. tuberculosis was cultured from the bronchial washings. Following six months of TB treatment, there was full resolution of symptoms and significant radiological improvement. We highlight the diagnostic challenges in endobronchial TB which may impact on the timely institution of treatment. |
| first_indexed | 2024-12-22T02:35:36Z |
| format | Article |
| id | doaj.art-39b3c8d9f7c345dbbb543479e2a4a6d8 |
| institution | Directory Open Access Journal |
| issn | 2051-3380 |
| language | English |
| last_indexed | 2024-12-22T02:35:36Z |
| publishDate | 2020-08-01 |
| publisher | Wiley |
| record_format | Article |
| series | Respirology Case Reports |
| spelling | doaj.art-39b3c8d9f7c345dbbb543479e2a4a6d82022-12-21T18:41:46ZengWileyRespirology Case Reports2051-33802020-08-0186n/an/a10.1002/rcr2.595Endobronchial tuberculosis polypsChristiaan Yu0Chuan Tai Foo1Ar Kar Aung2Simon A. Joosten3Monash Lung and Sleep Monash Health Melbourne Victoria AustraliaMonash Lung and Sleep Monash Health Melbourne Victoria AustraliaSchool of Public Health and Preventative Medicine Monash University Melbourne Victoria AustraliaMonash Lung and Sleep Monash Health Melbourne Victoria AustraliaAbstract Endobronchial tuberculosis (TB) is an uncommon manifestation of Mycobacterium tuberculosis. We report a case of endobronchial TB polyps in a patient from India presenting with cough, loss of weight and night sweats. Computed tomography chest revealed enlarged mediastinal lymph nodes, endobronchial invasion, and nodular infiltrates in the right lower lobe. Flexible bronchoscopy revealed two endobronchial polyps at the carina and left main bronchus which were biopsied. Histopathology showed non‐caseating granulomas. Both the biopsy and bronchial washings did not identify acid‐fast bacilli on Ziehl‐Neelsen stain and had negative TB complex DNA polymerase chain reaction. One month after bronchoscopy, M. tuberculosis was cultured from the bronchial washings. Following six months of TB treatment, there was full resolution of symptoms and significant radiological improvement. We highlight the diagnostic challenges in endobronchial TB which may impact on the timely institution of treatment.https://doi.org/10.1002/rcr2.595Endobronchial polypsendobronchial tuberculosisflexible bronchoscopytuberculosis |
| spellingShingle | Christiaan Yu Chuan Tai Foo Ar Kar Aung Simon A. Joosten Endobronchial tuberculosis polyps Respirology Case Reports Endobronchial polyps endobronchial tuberculosis flexible bronchoscopy tuberculosis |
| title | Endobronchial tuberculosis polyps |
| title_full | Endobronchial tuberculosis polyps |
| title_fullStr | Endobronchial tuberculosis polyps |
| title_full_unstemmed | Endobronchial tuberculosis polyps |
| title_short | Endobronchial tuberculosis polyps |
| title_sort | endobronchial tuberculosis polyps |
| topic | Endobronchial polyps endobronchial tuberculosis flexible bronchoscopy tuberculosis |
| url | https://doi.org/10.1002/rcr2.595 |
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