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Sa Orta Lob Sendromuna Neden Olan Hiler Lenf Nodu Tberkloz Lenfadeniti: Olgu Sunumu [Respir Case Rep]
Respir Case Rep. 2018; 7(2): 90-96 | DOI: 10.5505/respircase.2018.82787

Sa Orta Lob Sendromuna Neden Olan Hiler Lenf Nodu Tberkloz Lenfadeniti: Olgu Sunumu

Shital PATIL1, Mazhar Mirza2
1MIMSR Tp Fakltesi, Gs Hastalklar Anabilim Dal, Latur, Maharatra, Hindistan
2MIMSR Tp Fakltesi, Hastalklar Anabilim Dal, Latur, Maharatra, Hindistan

Orta lob sendromu (OLS) nadir grlen ve sa akcier orta lobda bazen de sol akcier lingulada tekrarlayan veya kronik kollaps ile karakterize nemli bir klinik tablodur. Burada, ksrk, ate, nefes darl gibi tropikal bir hastaln tipik semptomlar olan 52 yandaki bir kadn olgu sunulmaktadr. Balgam rnekleri yetersiz olduu iin grafideki OLS'yi belirlemek amacyla bronkoskopik inceleme yapld. Transbronial lenf nodu ine aspirasyonu ve bronkoalveoler lavaj alnd. M. tuberculosis, lenf bezinde GeneXpert MTB/RIF assay ile saptand. Drt haftada azaltlan dozlarda steroid ile beraber drtl antitberkloz tedavi baland ve 8 ay srdrld. Tam bir klinik ve radyolojik iyileme grld ve bronkoskopik olarak da iyileme saptand. OLS iin yksek phe duyulan olgularda tan iin tm tetkikler yaplmaldr.

Anahtar Kelimeler: orta lob sendromu, tberkloz lenfadenit, bronkoskopi, BAL, Gene Xpert MTB/RIF

Tuberculous Lymphadenitis of Hilar Lymph Nodes as a Cause of Right Middle Lobe Syndrome: A Case Report

Shital PATIL1, Mazhar Mirza2
1Pulmonary Medicine Department, Mimsr Medical College, Latur
2Internal Medicine, Mimsr Medical College Latur Maharashtra India

Right middle lobe syndrome (RMLS) is a rare but important clinical entity that is characterized by recurrent or chronic collapse of the middle lobe of the right lung, but which may also involve the lingula of the left lung. In this case report, a 52-year-old female presented with typical constitutional symptoms of tropical disease like cough, fever, and shortness of breath. Chest radiology documented RMLS and bronchoscopy was key to the evaluation of this case, as a sputum examination was inconclusive. Transbronchial needle aspiration (TBNA) of the lymph node and bronchoalveolar lavage (BAL) specimens were tested and Mycobacterium tuberculosis (MTB) of the hilar lymph nodes on the right side was confirmed using the GeneXpert MTB/RIF assay. Four anti-tuberculosis treatment drugs were initiated and maintained for a total of 8 months with steroids as an adjunct in tapering dosages for 4 weeks. Complete clinical and radiological recovery was documented and confirmed bronchoscopically. A high index of suspicion is important when managing RMLS cases and all possible measures should be taken to confirm diagnosis.

Keywords: RMLS (Right middle lobe syndrome), tuberculous lymphadenitis, Bronchoscopy, BAL, Gene Xpert MTB/RIF

Shital PATIL, Mazhar Mirza. Tuberculous Lymphadenitis of Hilar Lymph Nodes as a Cause of Right Middle Lobe Syndrome: A Case Report. Respir Case Rep. 2018; 7(2): 90-96

Sorumlu Yazar: Shital PATIL, India
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