Respir Case Rep. 2014; 3(1): 47-50 | DOI: 10.5505/respircase.2014.27247

The Importance of Bronchoscopy in the Diagnosis of Endobronchial Tuberculosis

Ahmet Cemal Pazarlý¹, Huri Özkan Yýlmaz¹, Nuri Havan^2
1Elbistan State Hospital,deparment Of Chest Diseases
²Afþin State Hospital,deparment Of Radiology

Endobronchial tuberculosis that mycobacterium tuberculosis isolated in low rate is defined as infection with tuberculosis of the tracheobronchial tree and is a rare condition in adult population. The current case was diagnosed with a lower respiratory tract infection and pneumonia and administered antibiotic treatment several times, and was clinically and radiologically suggested to have tuberculosis; however, even the direct examination of acid resistant bacteria in the sputum samples were negative, and the patient was diagnosed with endobronchial tuberculosis through the fiberoptic bronchoscopy examination and responded to treatment. Since pulmonary tuberculosis is common in Turkey, particularly in patients that present with a chronic cough, endobronchial tuberculosis should be suspected, and in such cases, examinations for tuberculosis in bronchoscopic materials may be appropriate.

Keywords: Endobronchial tuberculosis, pneumonia, fiberoptic bronchoscopy

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Endobronþial Tüberküloz Tanýsýnda Bronkoskopinin Önemi

Ahmet Cemal Pazarlý¹, Huri Özkan Yýlmaz¹, Nuri Havan^2
1Elbistan Devlet Hastanesi Göðüs Hastalýklarý Kliniði
²Afþin Devlet Hastanesi Radyoloji Kliniði

Mycobacterium tuberculosis'in düþük oranda izole edilebildiði endobronþiyal tüberküloz, trakeobronþiyal aðacýn tüberküloz ile infeksiyonu olarak tanýmlanýr ve eriþkin popülasyonda sýk rastlanmayan bir durumdur. Olgumuz alt solunum yolu enfeksiyonu ve pnömoni tanýlarý ile birkaç defa antibiyotik tedavisi uygulanmýþ, klinik ve radyolojik olarak tüberküloz düþünülmesine raðmen balgam örneklerinde aside dirençli basil direkt bakýsý negatif sonuçlanmasýna raðmen yapýlan fiberoptik bronkoskopik inceleme ile endobronþial tüberküloz tanýsý konularak, tedaviye yanýt alýnmýþtýr. Ülkemizde akciðer tüberkülozu yaygýn olduðundan, özellikle kronik öksürük þikayetiyle baþvuran hastalarda endobronþiyal tüberkülozdan þüphe edilmeli, bu tip olgularda bronkoskopik materyallerde tüberküloza yönelik tetkikler yapýlmasý uygun olabilir.

Anahtar Kelimeler: Endobronþiyal tüberküloz, pnömoni, fiberoptik bronkoskopi

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